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Evaluation of the eyelid disorders in the daily ophthalmic practice in 9 European Countries: The MEIBUM* survey
Author(s) -
Doan S.,
Zagórski Z.,
Palmares J.,
Yağmur M.,
Kaercher T.,
Van Dooren B.,
Jonckheere P.,
Jensen P.K.,
Benitez del Castillo J.M.
Publication year - 2016
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.1755-3768.2016.0577
Subject(s) - medicine , eyelid , massage , incidence (geometry) , epidemiology , confidence interval , ophthalmology , pediatrics , physics , alternative medicine , pathology , optics
Purpose To determine the incidence and characteristics of eyelid inflammatory disorders encountered during general ophthalmology consultations in Europe. Methods Multicenter, epidemiological survey implemented in 9 European countries (2012–2014). The participating ophthalmologists were asked to include 10 consecutive patients attending for consultations, no matter what reason for visit. A questionnaire recorded reason for visit, ocular history, symptoms, examination of eyelids and ocular surface, diagnosis of MGD or dry eye, impact on daily life, and management of eyelid disorders. Results 6,250 patients were recruited from 9 countries; Poland (2,584), Spain (1,925) Portugal (415), Turkey (398), Germany (375), The Netherlands (230), France (185), Belgium (78) and Denmark (60);mean age was 57.2 ± 17.6. 79.5% of patients presented with at least one ocular problem; the most common presenting symptom was dry eye (29.6%). 77.7% of patients had eyelid disorders. MGD was diagnosed in 53.2% and dry eye in 60.9% of patients. MGD was diagnosed in more than half of the patients with a strong link to dry eye (p‐value < 0.001). In case of presence of eyelid disorders there was a 52.5% relative risk increase in having dry eye diagnosis. (RR: 1.525: Confidence Interval, CI, 1.424–1.632). Among the 3,215 patients diagnosed with MGD, 37.3% were classified as having a hyposecretory MGD, 37.3% an obstructive MGD and 38% a hypersecretory MGD. Management included warming (49.5%), cleansing (67.7%), massage (53.6%), and also eye drops for dry eye (81.7%). The impact of eyelid disorder on daily life concerned vision for 56.7%, daily activities/work (53%), leisure (43.1%), and also on emotions (20.6%) and sleep (17.6%). Conclusions This survey highlights the importance of examining eyelids more closely during routine eye examinations.