Free Papers
Broadening horizons- Extending use of Intense pulsed light (IPL) with low level light therapy (LLLT) in various ocular surface and eyelid disorders
Free Paper Details
First Author: A.John INDIA
Co Author(s): R. Shetty S. Sethu D. Ghosh D. Dsouza
Abstract Details
Purpose:
To assess the effects of Intense Pulsed Light (IPL) combined with low level light therapy (LLLT) in patients with Meibomian Gland Dysfunction (MGD), chronic blepharitis, recurrent chalazia and poor ocular surface in glaucoma patients
Setting:
Narayana Nethralaya, Bangalore
Methods:
52 eyes of 26 MGD patients,12 eyes of 6 patients with recurrent blepharitis (5 eyes had recurrent chalazia),and 28 eyes of 14 glaucoma patients with poor ocular surface unresponsive to medical management,were assessed. Complete ophthalmic evaluation(both anterior and posterior segment)with thorough Dry eye workup - Schirmers I and II,Tear film breakup time,Ocular Surface Disease Index (OSDI) and Meibography,both pre and post treatment, was done. After appropriate power selection based on Fitzpatrick skin type and meibography grade,patients underwent 3 sessions of IPL + LLLT by the Eyesight machine (Expansion) at 1 month interval,with followups on day 15,day 30 and 3 months.
Results:
The OSDI score improved in 92% patients who underwent therapy. TBUT changed from mean 6 to 8 in the MGD patients. 3 eyes with recurrent chalazia had reduction in the frequency of episodes and 2 avoided incision and drainage after the therapy. 72% Patient who were intolerant to glaucoma medications due to ocular surface issues felt better and OSDI improved and surface staining reduced. No patient developed any complications or needed to stop therapy due to worsening condition.
Conclusions:
IPL in combination with LLLT, not only plays a significant role in the treatment of meibomian gland dysfunction and associated evaporative dry eye disease, but can also be used as an adjunct therapy in various other ocular surface and lid disorders.
Financial Disclosure:
-
