Clinical approach and current therapeutic management of Meibomian gland dysfunction

Authors

Zulma Samara Santos Rueda Universidad El Bosque, Facultad de Medicina, programa de Optometría, Bogotá, Cundinamarca, Colombia https://orcid.org/0000-0002-3300-314X
Danna Isabella Garcia Salas Universidad El Bosque, Facultad de Medicina, programa de Optometría, Bogotá, Cundinamarca, Colombia https://orcid.org/0000-0001-8788-9268
Alejandra Mendivelso Suárez Universidad El Bosque, Facultad de Medicina, programa de Optometría, Bogotá, Cundinamarca, Colombia https://orcid.org/0000-0002-5250-824X

DOI:

https://doi.org/10.33936/qkrcs.v6i3.4668

Keywords:

glándulas de Meibomio, síndromes de ojo seco, segmento anterior del ojo, Demodex folliculorum, blefaritis

Abstract

In optometric clinical practice, it is essential to carry out a complete examination, since it is the discipline in charge of primary eye care and its exercise includes preventing, diagnosing and treating pathologies of the anterior segment. A very common pathology is Meibomian gland dysfunction (MGD), characterized by the obstruction of the glandular orifices, causing changes in glandular secretion, instability of the tear film, inflammation of the eyelids and damage to the ocular surface. prevalence of meibomian gland dysfunction is higher in Asian populations in contrast to the prevalence in Caucasians. It has been correlated with evaporative dry eye disease and the Demodex mite. The diagnosis of (MGD) goes from the most basic, and focuses on the evaluation of the eyelids and eyelashes in biomicroscopy. The therapeutic alternatives seek to improve the flow of glandular secretion through medications, ultrasonic stimulation, thermal pulsation, intraductal probing, among others. There is extensive bibliography on the (DGM); however, this narrative review compiled reliable information and related it to each other, allowing the efficiency of the diagnostic and therapeutic alternatives that currently exist to be compared.

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