THERAPEUTIC EYELIDS HYGIENE IN THE ALGORITHMS OF PREVENTION AND TREATMENT OF OCULAR SURFACE DISEASES. PART II

• Main Authors: V. N. Trubilin, E. G. Poluninа, E. Y. Markova, V. V. Kurenkov, S, G. Kapkova
• Format: Article
• Language: Russian
• Published: Ophthalmology Publishing Group 2016-09-01
• Series: Oftalʹmologiâ
• Subjects: meibomian gland’s dysfunction; hygiene eyelids; eye surface; seborrheic blepharitis; staphylococcal blepharitis; allergic blepharitis; barley and chalazion; keratoconjunctival xerosis
• Online Access: https://www.ophthalmojournal.com/opht/article/view/325

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