国际眼科纵览 ›› 2012, Vol. 36 ›› Issue (4): 251-255.doi: 10 3760/ cma. j. issn. 16735803 2012 04 007

• 综述 • 上一篇    下一篇

睑板腺功能障碍的治疗进展

董雪青 高莹莹   

  1. 362000 福建泉州,福建医科大学附属第二医院眼科
  • 收稿日期:2012-02-24 出版日期:2012-08-22 发布日期:2012-09-03
  • 通讯作者: 高莹莹,Email:gaoyingying@gmail.com E-mail:gaoyingying@gmail.com

The treatment of meibomian gland dysfunction

DONG Xue-qing, GAO Ying-ying   

  1. Department of Ophthalmology, Fujian Medical University 2nd Clinical Medical College, Quanzhou Fujian 362000, China
  • Received:2012-02-24 Online:2012-08-22 Published:2012-09-03
  • Contact: GAO Ying-ying, Email: gaoyingying@gmail.com E-mail:gaoyingying@gmail.com

摘要: 睑板腺功能障碍(meibomian gland dysfunction, MGD)是一种常见的眼表疾病,是多种睑板腺异常的总称,包括其结构异常和分泌物性质的异常,可引起眼睑炎症和泪液不稳定以及其他眼表疾病,其中最常见的病变是后部睑缘炎和脂质缺乏性(lipid tear deficiency,LTD)干眼症。既往MGD的治疗主要为眼睑清洁、热敷、睑板腺按摩、营养治疗、激素以及抗生素应用等,近年来物理疗法、免疫调节、环境调节等治疗方法有了新的进展,抗生素的治疗机理研究也有新的发现。

Abstract: Meibomian gland dysfunction (MGD) is the general term that describes a chronic, diffuse abnormality of the meibomian glands, commonly characterized by terminal duct obstruction or/and qualitative and quantitative changes in the meibom secretion. It may result in instability of the tear film, inflammation in the lid margin, lipid tear deficiency(LTD) dry eye and other ocular surface diseases. Previously, MGD treatment includes the eyelids cleaning, warm massage, nutritional therapy, hormone and antibiotic applications. In recent years,physical therapy, immune regulation, and environmental regulation, as well as the study of the mechanism of antibiotic application, has a lot of new progresses.