대한안과학회 학술대회 발표 연제 초록
 
CO F-028
Categorization of Meibomian Gland Dysfunction Using Lipid Layer Thickness and Meibomian Gland Dropout in Dry Eye Patients: A Retrospective Study
Blue Eye Center, Incheon (1) JC Bit Somang Eye Clinic, Seoul (2) Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon (3) Department of Ophthalmology, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon (4) Department of Ophthalmology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul (5)
Jae Lim Chung (1,2), Bum-Joo Cho (3), Yong Ho Goo (3), Min Chul Shin (3), Eun Chul Kim (4), Man Soo Kim (5), Ho Sik Hwang (3)
목적 : To determine the prevalence of obstructive meibomian gland dysfunction (MGD), hyposecretory MGD, no MGD, and hypersecretory MGD in patients with dry eye syndrome using lipid layer thickness (LLT) and meibomian gland dropout. 방법 : Eighty eight patients with dry eye syndrome were included in the study. Patients were categorized into four groups according to the LLT and weighted total meiboscore. The proportion of patients in each group was calculated. The age, gender, OSDI, LLT, Schirmer, tBUT, cornea stain, weighted total meiboscore, expressibility and quality of meibum were compared between the four groups. 결과 : Fifteen eyes (17%) had obstructive MGD, 2 eyes (2.3%) had hyposecretory MGD, 40 eyes (45.5%) had no MGD, and 17 eyes (19.3%) had hypersecretory MGD. The obstructive MGD group was younger than the no MGD group. In obstructive MGD, the ratio of men to women was higher than that of the other groups. However, OSDI, Schirmer, tBUT, and corneal stain did not show statistically significant differences between the four groups. The meibum expressibility of the hyposecretoy MGD group was worse than those of the other groups. 결론 : This categorization was expected to help determine the best treatment method for dry eye syndrome, according to the meibomian gland status.
 
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