Methods of Screening for Meibomian Gland Dysfunction

The relevance of the modern diagnosis of meibomian glands dysfunction (MGD) increases daily. Firstly, it is caused by changing of the perception about the prevalence of this disease, according to various data it is from 40 to 71% of the population in different age groups. Considering the increasing...

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Main Authors: V. N. Trubilin, E. G. Polunina, E. Yu. Markova, D. V. Andzhelova, S. V. Kurenkova, L. Yu. Bezmel’nitsyna
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2016-12-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/332
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author V. N. Trubilin
E. G. Polunina
E. Yu. Markova
D. V. Andzhelova
S. V. Kurenkova
L. Yu. Bezmel’nitsyna
author_facet V. N. Trubilin
E. G. Polunina
E. Yu. Markova
D. V. Andzhelova
S. V. Kurenkova
L. Yu. Bezmel’nitsyna
author_sort V. N. Trubilin
collection DOAJ
description The relevance of the modern diagnosis of meibomian glands dysfunction (MGD) increases daily. Firstly, it is caused by changing of the perception about the prevalence of this disease, according to various data it is from 40 to 71% of the population in different age groups. Considering the increasing number of patients suffering from MGD, there is the need to develop screening methods for diagnosis of this disease. Screening methods should be available not only for specialists involved in the treatment of xerosis keratoconjunctival in specialized ophthalmology clinics, but also in out-patient sector. An important aspect in the diagnosis of the severity of the functionaldisorders of the meibomian glands is the assessment of morphological status that determines the further choice of therapy. To evaluate the morphological and functional state of the meibomian glands proposed to use biometrics of meibomian glands. A slit lamp is used for examination. Furthermore, objective data characterizing the morpho-functional state of the meibomian glands, can be obtained by carrying out meibography. Authors used not only white light but also infrared light for the visualization of meibomian glands during meibography. The multifunctional ophthalmic devices equipped with infrared lighting can be used for lighting. For example, specialized slit lamps, corneal topographs, Sheympflyug camera, the fundus camera and others. We applied nonmidriatic fundus camera TOPCON TRC-NW300, using for fotoregistration of the ocular fundus. A feature of the proposed method — meyboskopy — was simplicity and absence of necessity of the investigator skills by scanning with the fundus camera of the inner surface of the eyelid. Meiboskopy doesn’t require  additional equipment and software of the fundus camera and allows to receive objective quality video of meibomian glands, it opens new diagnostic possibilities. Extending of the range of diagnostic capabilities in detecting of MGD based on the screening methods will allow time to assess the severity of this disease and to appoint pathogenetically substantiated therapy.
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spelling doaj-art-946ff1a9f2fc4ff1a1e37108c4e352f52025-08-04T14:32:19ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452016-12-0113423524010.18008/1816-5095-2016-4-235-240307Methods of Screening for Meibomian Gland DysfunctionV. N. Trubilin0E. G. Polunina1E. Yu. Markova2D. V. Andzhelova3S. V. Kurenkova4L. Yu. Bezmel’nitsyna5Federal institute of the professional development, Federal medical and biological agencyFederal institute of the professional development, Federal medical and biological agency, Clinical Hospital Lapino “Mother and Child”The S. Fyodorov Eye Microsurgery Federal State InstitutionResearch Institute of Eye Diseases,Scientific institution “The National Research Institute of Public Health named Semashko“The S. Fyodorov Eye Microsurgery Federal State InstitutionScientific institution “The National Research Institute of Public Health named Semashko“The relevance of the modern diagnosis of meibomian glands dysfunction (MGD) increases daily. Firstly, it is caused by changing of the perception about the prevalence of this disease, according to various data it is from 40 to 71% of the population in different age groups. Considering the increasing number of patients suffering from MGD, there is the need to develop screening methods for diagnosis of this disease. Screening methods should be available not only for specialists involved in the treatment of xerosis keratoconjunctival in specialized ophthalmology clinics, but also in out-patient sector. An important aspect in the diagnosis of the severity of the functionaldisorders of the meibomian glands is the assessment of morphological status that determines the further choice of therapy. To evaluate the morphological and functional state of the meibomian glands proposed to use biometrics of meibomian glands. A slit lamp is used for examination. Furthermore, objective data characterizing the morpho-functional state of the meibomian glands, can be obtained by carrying out meibography. Authors used not only white light but also infrared light for the visualization of meibomian glands during meibography. The multifunctional ophthalmic devices equipped with infrared lighting can be used for lighting. For example, specialized slit lamps, corneal topographs, Sheympflyug camera, the fundus camera and others. We applied nonmidriatic fundus camera TOPCON TRC-NW300, using for fotoregistration of the ocular fundus. A feature of the proposed method — meyboskopy — was simplicity and absence of necessity of the investigator skills by scanning with the fundus camera of the inner surface of the eyelid. Meiboskopy doesn’t require  additional equipment and software of the fundus camera and allows to receive objective quality video of meibomian glands, it opens new diagnostic possibilities. Extending of the range of diagnostic capabilities in detecting of MGD based on the screening methods will allow time to assess the severity of this disease and to appoint pathogenetically substantiated therapy.https://www.ophthalmojournal.com/opht/article/view/332meibomian glands dysfunctionscreeningmeibographymeiboskopyfundus camera
spellingShingle V. N. Trubilin
E. G. Polunina
E. Yu. Markova
D. V. Andzhelova
S. V. Kurenkova
L. Yu. Bezmel’nitsyna
Methods of Screening for Meibomian Gland Dysfunction
Oftalʹmologiâ
meibomian glands dysfunction
screening
meibography
meiboskopy
fundus camera
title Methods of Screening for Meibomian Gland Dysfunction
title_full Methods of Screening for Meibomian Gland Dysfunction
title_fullStr Methods of Screening for Meibomian Gland Dysfunction
title_full_unstemmed Methods of Screening for Meibomian Gland Dysfunction
title_short Methods of Screening for Meibomian Gland Dysfunction
title_sort methods of screening for meibomian gland dysfunction
topic meibomian glands dysfunction
screening
meibography
meiboskopy
fundus camera
url https://www.ophthalmojournal.com/opht/article/view/332
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