Randomized Prospective Evaluation of Microblepharoexfoliation BlephEx as Adjunctive Therapy in the Treatment of Chalazia.


Journal

Cornea
ISSN: 1536-4798
Titre abrégé: Cornea
Pays: United States
ID NLM: 8216186

Informations de publication

Date de publication:
01 Feb 2023
Historique:
received: 27 10 2021
accepted: 16 05 2022
pubmed: 23 7 2022
medline: 3 1 2023
entrez: 22 7 2022
Statut: ppublish

Résumé

Chalazia are benign eyelid lesions caused by the obstruction and inflammatory reaction of the meibomian glands. Demodex mites are one potential cause of chalazia leading to mechanical obstruction of the meibomian gland. In this prospective randomized study, we examine a novel approach to treating chalazia with the use of microblepharoexfoliation (MBE), an in-office lid hygiene technique that exfoliates the eyelid margins. Fifty patients with clinical evidence of acute chalazion were enrolled in this study. Subjects were randomly assigned to a MBE plus lid hygiene group (23 patients, mean age 66.6 ± 16.6 years) or a lid hygiene alone group (27 patients, mean age 62.1 ± 14.4). The MBE plus lid hygiene group received MBE treatment and were evaluated 1 month after the baseline visit. The main outcome measured was the resolution of the chalazion at the 1-month follow-up visit. The lid hygiene plus MBE treatment group demonstrated a statistically significant resolution of the chalazion compared with the lid hygiene group alone ( P = 0.007; chi-square test). Among the MBE plus hygiene group, 87% of the patients had resolution of their chalazion as opposed to the lid hygiene alone group, which had 44% resolution. This is the first prospective, randomized clinical trial that demonstrated efficacy of MBE as a noninvasive adjunctive treatment method for chalazion resolution.

Identifiants

pubmed: 35867627
doi: 10.1097/ICO.0000000000003090
pii: 00003226-202302000-00007
pmc: PMC9797196
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

172-175

Informations de copyright

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

H. D. Perry, MD, serves as a consultant for BlephEx. The remaining authors have no conflicts of interest to disclose.

Références

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Auteurs

Daniel Zhu (D)

Department of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Rohun R Gupta (RR)

Department of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Rebecca L Stein (RL)

Ophthalmic Consultants of Long Island, Rockville Centre, NY; and.

Jose Quintero (J)

Ophthalmic Consultants of Long Island, Rockville Centre, NY; and.

Marcelle M Morcos (MM)

Department of Ophthalmology, Nassau University Medical Center, East Meadow, NY.

Timothy J Link (TJ)

Department of Ophthalmology, Nassau University Medical Center, East Meadow, NY.

Henry D Perry (HD)

Department of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Ophthalmic Consultants of Long Island, Rockville Centre, NY; and.
Department of Ophthalmology, Nassau University Medical Center, East Meadow, NY.

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