Advertisement
Reply| Volume 46, ISSUE 2, 101818, April 2023

Risk associated with treatments for meibomian gland dysfunction

Published:February 07, 2023DOI:https://doi.org/10.1016/j.clae.2023.101818
      We would like to begin by thanking Professor McMonnies for taking an interest in our recent work on hot towel warm compress treatment for meibomian gland dysfunction [
      • Schjerven Magno M.
      • Olafsson J.
      • Beining M.
      • Moschowits E.
      • Lagali N.
      • Wolffsohn J.S.
      • et al.
      Hot towels: The bedrock of Meibomian gland dysfunction treatment – A review.
      ]. We value the input and comments presented in his Letter and concur that the management of periods with elevated intraocular pressure (IOP) is important to bear in mind when advising patients with ocular surface disease.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contact Lens and Anterior Eye
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schjerven Magno M.
        • Olafsson J.
        • Beining M.
        • Moschowits E.
        • Lagali N.
        • Wolffsohn J.S.
        • et al.
        Hot towels: The bedrock of Meibomian gland dysfunction treatment – A review.
        Cont Lens Anterior Eye. 2022; : 101775
        • Fortune B.
        • Choe T.E.
        • Reynaud J.
        • Hardin C.
        • Cull G.A.
        • Burgoyne C.F.
        • et al.
        Deformation of the rodent optic nerve head and peripapillary structures during acute intraocular pressure elevation.
        Invest Ophthalmol Vis Sci. 2011; 52: 6651-6661https://doi.org/10.1167/iovs.11-7578
        • Bui B.V.
        • Batcha A.H.
        • Fletcher E.
        • Wong V.H.Y.
        • Fortune B.
        • Libby R.
        Relationship between the magnitude of intraocular pressure during an episode of acute elevation and retinal damage four weeks later in rats.
        PLoS One. 2013; 8https://doi.org/10.1371/journal.pone.0070513
        • Korenfeld M.S.
        • Dueker D.K.
        Review of external ocular compression: clinical applications of the ocular pressure estimator.
        Clin Ophthalmol. 2016; 10: 343-357https://doi.org/10.2147/opth.S92957
        • Ernest J.T.
        • Goldstick T.K.
        • Stein M.A.
        • Zheutlin J.D.
        Ocular massage before cataract surgery.
        Trans Am Ophthalmol Soc. 1985; 83: 205-217
        • Coleman D.J.
        • Trokel S.
        Direct-recorded intraocular pressure variations in a human subject.
        Arch Ophthalmol. 1969; 82: 637-640https://doi.org/10.1001/archopht.1969.00990020633011
        • Turner D.C.
        • Girkin C.A.
        • Downs J.C.
        The Magnitude of Intraocular Pressure Elevation Associated with Eye Rubbing.
        Ophthalmology. 2019; 126: 171-172https://doi.org/10.1016/j.ophtha.2018.08.025
        • Schuman J.S.
        • Massicotte E.C.
        • Connolly S.
        • Hertzmark E.
        • Mukherji B.
        • Kunen M.Z.
        Increased intraocular pressure and visual field defects in high resistance wind instrument players.
        Ophthalmology. 2000; 107: 127-133https://doi.org/10.1016/s0161-6420(99)00015-9
        • Hjortdal J.Ø.
        • Böhm A.
        • Kohlhaas M.
        • Olsen H.
        • Lerche R.
        • Ehlers N.
        • et al.
        Mechanical stability of the cornea after radial keratotomy and photorefractive keratectomy.
        J Refract Surg. 1996; 12: 459-536
        • McMonnies C.W.
        Intraocular pressure spikes in keratectasia, axial myopia, and glaucoma.
        Optom Vis Sci. 2008; 85: 1018-1026https://doi.org/10.1097/OPX.0b013e3181890e91
        • McMonnies C.W.
        • Boneham G.C.
        Experimentally increased intraocular pressure using digital forces.
        Eye Contact Lens. 2007; 33: 124-129https://doi.org/10.1097/01.icl.0000247637.71618.26
        • Heyd J.A.
        The effect of warm compress on IOP.
        Coll Optom. 1985; 729

      Linked Article

      • Risk associated with treatments for meibomian gland dysfunction
        Contact Lens and Anterior EyeVol. 46Issue 2
        • Preview
          The comprehensive review of meibomian gland dysfunction (MGD) treatment using hot towel applications to the eyelids by Magno and coauthors [1] concluded that “long-term treatment appears to be safe as long as the towels are not heated beyond safe limits or applied with excessive force”. Another recent review of other methods used to treat MGD (specifically, using devices that direct heat and/or pressure to the eyelids, as well as intense pulsed light treatment combined with gland expression), by Bzovey and Ngo [2] concluded that “these methods were generally safe to use”.
        • Full-Text
        • PDF