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Eyelid disorders evaluation in the Ophthalmic current practice in Belgium, Denmark, France, Netherland, Portugal and Turkey: The Meibum Study
Author(s) -
Diaz Valle D.,
Doan S.,
Yagmur M.,
Benitez del Castillo J.M.
Publication year - 2015
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2015.0603
Subject(s) - eyelid , palpebral fissure , medicine , ophthalmology , epidemiology , contact lens , optometry , pediatrics
Purpose To determine the incidence and characteristics of eyelid inflammatory disorders during general ophthalmological consultations and to demonstrate the association between palpebral pathologies and ocular surface pathologies in 6 of the 9 European countries involved in the MEIBUM survey. Methods Multi‐center, international, transversal and epidemiological survey. The primary objective was to assess the percentage of eyelid disorders in patients attending a current ophthalmologic consultation. The secondary objectives were to assess the association between palpebral pathologies and ocular surface pathologies, the impact of eyelid disorders on patient's daily life (on vision, on daily life activities/work, on leisure, on contact lens wearing, on emotions and on sleep). Results A total of 1398 were included by ophthalmologists from Belgium, Denmark, France, Netherland, in Portugal and Turkey.The mean age was 56.2 (±17.5). At least an ocular history was found in 78.4% of the patients. The main antecedents were “Dry eye” (25%), “Glaucoma” (15.7%) and “Cataract” (19.8%). The percentage of eyelid disorders was 73.4%. The diagnostic of Meibomian Gland Dysfunction ( MGD ) was established in 45.4% of the total patients and dry eye in 63.4%. The impact of MGD on daily life was mainly on vision for 60.2% of the patients, on daily activities/work (49.7%), on leisure (40.8%), but also on emotions (22.1%) and sleep (15.8%). MGD were treated by eyelid hygiene recommendations: warming (68.5%), massaging (67.7%) cleansing (78.9%), and eye drops for dry eye (79.5%). Conclusions MGD was diagnosed in nearly half of the patients with a strong link to dry eye. The impact on daily life is notable. Only dry eye symptoms seem to be taken in charge more often than MGD .