[关键词]
[摘要]
睑板腺功能障碍(MGD)是一种慢性、弥漫性的睑板腺疾病,主要特征以睑板腺终末导管阻塞和(或)腺体分泌的质和(或)量异常,可导致泪膜改变、眼睛反复刺激症状和(或)异物感、严重者可引起视力下降等,极大地影响患者的生活质量和日常工作。目前临床治疗MGD有多种传统方案,分为人工泪液、眼睑热敷、睑板腺按摩、眼睑清洁等,但是传统的治疗方案需重复操作、部分患者治疗后眼部不适症状易复发、少数患者可出现症状加重等情况,使患者依从性大大下降,加之目前国内外关于MGD的治疗方案没有统一的指南和标准,因此该病在临床治疗中面临严峻的挑战性。近年来,随着对MGD发病机制认识及研究的深入,MGD治疗领域取得一定突破,新兴的治疗方法不断涌现并逐渐受到关注和重视。文章旨在对目前MGD新兴治疗的研究进展进行总结,为临床治疗MGD提供参考。
[Key word]
[Abstract]
Meibomian gland dysfunction(MGD)is a chronic, diffuse disorder of the meibomian glands characterized by obstruction of the terminal ducts of the meibomian glands and/or qualitative and/or quantitative abnormalities in glandular secretion. It can lead to tear film changes, symptoms of recurrent eye irritation and/or foreign body sensation, and in severe cases, vision loss, which greatly affects the quality of life and daily work of patients. Although, there are various traditional protocols for the clinical treatment of MGD, which are classified as artificial tears, hot compresses on the eyelids, blepharoplasty massage, and eyelid cleansing, etc., the limitations of traditional treatment protocols that require repetitive manipulation, the tendency for ocular discomfort to recur in some patients after treatment, and the possibility of symptom exacerbation in a few patients have greatly decreased patient compliance, coupled with the fact that there is no unified guideline standard for treatment protocols regarding MGD both at home and abroad at this point in time. Therefore, the disease faces severe challenges in clinical treatment. In recent years, with the deepening of the understanding of the pathogenesis of MGD and research, certain breakthroughs have been made in the field of MGD treatment, and emerging therapeutic approaches have emerged and gradually gained attention and importance. The purpose of this review is to summarize the current progress of emerging MGD treatment and provide reference for the clinical treatment of MGD.
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