THERAPEUTIC EYELIDS HYGIENE IN THE ALGORITHMS OF PREVENTION AND TREATMENT OF OCULAR SURFACE DISEASES. PART II
https://doi.org/10.18008/1816-5095-2016-3-205-212
Abstract
The second part of the article is focused on the issue of prevention and treatment of the most common clinical situations in which applicable therapeutic hygiene: seborrheic blepharitis; Staphylococcal blepharitis; Allergic blepharitis; barley and chalazion; prevention keratoconjunctival xerosis (during the preoperative and postoperative period, while wearing contact lenses, in computer vision syndrome, in remission after acute inflammation of the conjunctiva and cornea). There is an algorithm for the therapeutic care of eyelids and the basic mechanisms of action of this procedure. Until recently, the treatment of dry eye syndrome involves the use tearsubstitude therapy. Ten or fifteen years ago, 2–3 tearsubstitudes were presented at the domestic market. Currently, there are doses of different forms of artificial tears, while there are hundreds of them on the western pharmaceutical market. The rapid development in the search for new forms tearsubstitudes is not accident. This is due to the increasing number of patients suffering from disorders of the tear membrane stability, which achieves, according to different sources, up to 40–60% of the adult population. It should be noted that the primary cause of dry eye syndrome in 85–95% of patients is meibomian gland’s dysfunction, thus applying tearsubstitudes symptomatic therapy is treatment that does not solve the problem on the pathogenic level. For this reason, conducting therapeutic hygiene century (warm compresses + self-massage) is an important component of the treatment of this group of patients. Objective evidence of relevance and effectiveness of therapeutic care age, in our opinion, is the rapid development of the pharmaceutical market in this area. There is a large number of new gels, lotions, wipes and other products for hygiene century every year. Clear algorithms that include therapeutic hygiene century (dates, the indications for the use of certain hygiene products) is an actual problem of modern ophthalmology.
Part 1 — Trubilin VN, Poluninа EG, Kurenkov VV, Kapkova SG, Markova EY, Therapeutic eyelids hygiene in the algorithms of prevention and treatment of ocular surface diseases. Ophthalmology in Russia. 2016;13(2):122–127 doi: 10.18008/1816–5095– 2016–2–122–127
About the Authors
V. N. TrubilinRussian Federation
рrofessor, Head of the Department of Ophthalmology
E. G. Poluninа
Russian Federation
MD, assistant professor of the Department of Ophthalmology
E. Y. Markova
Russian Federation
MD, Professor of Department of Ophthalmology
V. V. Kurenkov
Russian Federation
MD., Professor of the Department of Ophthalmology
S, G. Kapkova
Russian Federation
PhD., assistant professor of the Department of Ophthalmology
References
1. Zabegajlo A.O., Polunin G.S., Polunina E.G., Kasparova Evg.A. [Modern opinion about blepharo conjunctival form of the syndrome of «dry eye»]. Sovremennye predstavlenija o blefarokon#junktival’noj forme sindroma «suhogo glaza». [Annals of Ophthalmology]. Vestnik oſtal’mologii. 2007(2):45 49. (In Russ.).
2. Duncan K1, Jeng BH. Medical management of blepharitis. Curr Opin Ophthalmol. 2015 Jul;26(4):289 94.
3. Thode AR1, Latkany RA. Current and Emerging Therapeutic Strategies for the Treatment of Meibomian Gland Dysfunction (MGD) Drugs. 2015 Jul;75(11):1177 85.
4. Alghamdi YA1, Camp A, Feuer W, Karp CL, Wellik S, Galor A.Compliance and Subjective Patient Responses to Eyelid Hygiene. Eye Contact Lens. 2016 May 26.
5. Oge’ LK, Muncie HL, Phillips Savoy AR. Rosacea: Diagnosis and Treatment. Am Fam Physician. 2015 Aug 1;92(3):187 96.
6. Okura M1, Kawashima M2, Katagiri M3, Shirasawa T3, Tsubota K2. New Eye Cleansing Product Improves Makeup Related Ocular Problems. J Ophthalmol. 2015;2015:831628.
7. Ngo W1, Srinivasan S2, Houtman D3, Jones L2.The relief of dry eye signs and symptoms using a combination of lubricants, lid hygiene and ocular nutraceuticals. J Optom. 2016 Jul 11. pii: S1888 4296(16)30024 3.
8. Blackie CA1, Coleman CA1, Holland EJ2. The sustained effect (12 months) of a single dose vectored thermal pulsation procedure for meibomian gland dysfunction and evaporative dry eye. Clin Ophthalmol. 2016 Jul 26;10:1385 96.
9. Yanchenko S.V., Malyshev A.V., Sakhnov S.N., Fedotova N.V., Orlova O.Y., Grishenko I.V., Exuzyan Z.A. [Novel complex therapy of autumnal allergic blepharoconjuctivitis]. Novye vozmozhnosti komplesnoj terapii letne osennego pollinoznogo blefarokon#junktivita. [Ophthalmology]. Oſtal’mologija. 2014;11(3):74 79. (In Russ.).
10. Kurenkov V.V., Markova E.J., Kurenkova N.V. [About the correctness of laser refractive surgery in children]. O korrektnosti primenenija tehnologij lazernoj refrakcionnoj hirurgii u detej. [Ophthalmology]. Oſtal’mologija. 2016;13(1):44 50. (In Russ.)
11. Zhemchugova A.V., Kurenkov V.V., Polunin G.S., Polunina E.G., Alieva A., Martirosova N.I. [The therapeutic eyelids hygiene for prophylaxis and treatment complications caused by change of microflora and tear production aſter refractive surgery]. Terapevticheskaja gigiena vek v profilaktike i lechenii oslozhnenij, svjazannyh s izmeneniem mikroflory i slezoprodukcii posle refrakcionnyh operacij. Obzor literatury. [Ophthalmology]. Oſtal’mologija. 2012;9(1):18 22. (In Russ.)
12. Peral A1, Alonso J, García García C, Niño Rueda C, Calvo Del Bosque P. Importance of Lid Hygiene Before Ocular Surgery: Qualitative and Quantitative Analysis of Eyelid and Conjunctiva Microbiota. Eye Contact Lens. 2015 Dec 9. [Epub ahead of print]
13. Markova E.Ju., Polunina E.G., Pron’ko N.A., Venediktova L.V., Kurganova O.V. [Viral ocular surface disease in children]. Virusnye zabolevanija glaznoj poverhnosti u detej. [Annals of Ophthalmology]. Vestnik Oſtal’mologii. 2016(7):67 71. (In Russ.)
14. Kasparov A.A., Kasparova Evg, Pavluk A.S. [Local express autotsitokinoterapy (complex cytokine) in the treatment of viral and nonviral eye lesions.]. Lokal’naja jekspress autocitokinoterapija (kompleks citokinov) v lechenii virusnyh i nevirusnyh porazhenij glaz. [Annals of Ophthalmology]. Vestnik oſtal’mologii. 2004;1:29 32. (in Russ.).
15. Kasparova E.A., Kasparova Evg.A., Kasparov A.A. [Modern clinic and treatment of adenoviral keratoconjunctivitis. Effective pharmacology]. Sovremennaja klinika i lechenie adenovirusnogo keratokon#junktivita. Jeffektivnaja farmakologija. [Ophthalmology]. Oſtal’mologija. 2015;30(1):12 18.
Review
For citations:
Trubilin V.N., Poluninа E.G., Markova E.Y., Kurenkov V.V., Kapkova S.G. THERAPEUTIC EYELIDS HYGIENE IN THE ALGORITHMS OF PREVENTION AND TREATMENT OF OCULAR SURFACE DISEASES. PART II. Ophthalmology in Russia. 2016;13(3):205-212. (In Russ.) https://doi.org/10.18008/1816-5095-2016-3-205-212