单纯使用次氯酸眼部清洁湿巾对睑缘炎的短期临床疗效

Short-term clinical effect of hypochlorous acid eye cleansing wipes on blepharitis

目的:评价单纯使用次氯酸眼部清洁湿巾清洁睑缘1wk后对睑缘炎的治疗效果。方法:前瞻性病例对照研究。选取2020-03/08就诊于我院眼科门诊的睑缘炎患者48例48眼,根据临床诊断进行分组,其中葡萄球菌性睑缘炎组患者16例,脂溢性睑缘炎组患者22例,睑板腺功能障碍性睑缘炎组患者10例。单纯给予次氯酸眼部清洁湿巾清洁睑缘1wk,收集治疗前后眼表及睑板腺相关参数。结果:与治疗前相比,治疗1wk后本研究纳入患者整体眼表疾病指数评分(OSDI)、结膜充血程度及睑缘充血程度评分均显著下降(P<0.001),其中三组患者OSDI评分均显著下降,脂溢性睑缘炎组患者泪膜破裂时间(TBUT)显著增加,结膜充血程度显著降低,且葡萄球菌性睑缘炎组和脂溢性睑缘炎组患者睑缘充血程度评分均显著下降(P<0.05)。结论:单纯使用次氯酸眼部清洁湿巾清洁睑缘1wk对不同类型睑缘炎有较好疗效,可改善睑缘炎眼部症状,降低葡萄球菌性睑缘炎及脂溢性睑缘炎睑缘充血,改善脂溢性睑缘炎结膜充血程度,提高泪膜稳定性。

AIM:To evaluate the therapeutic effect on blepharitis by using hypochlorous acid eye cleansing wipes for 1wk.METHODS:Prospective case-control study.Unlateral eyes of 48 patients with blepharitis who attended the ophthalmology clinic of our hospital on March 08,2020 were selected and grouped according to the clinical diagnosis,including 16 patients in the staphylococcal blepharitis group and 22 patients in the seborrheic blepharitis group,10 patients in the meibomian gland dysfunction blepharitis group.Hypochlorous acid eye cleansing wipes were given to clean the eyelid margin for 1wk,and related parameters of the eye surface and meibomian glands were collected before and after treatment.RESULTS:Compared with pre-treatment,after 1wk of treatment,the overall ocular surface disease index(OSDI),conjunctival hyperemia,and eyelid margin hyperemia scores of the patients included in this study were significantly reduced(P<0.001),and the OSDI scores of the three groups of patients were all significantly decreased,the tear film rupture time(TBUT)of patients in the seborrheic blepharitis group was significantly increased,and the degree of conjunctival congestion was significantly alleviated,and the scores of blepharocongestion in the staphylococcal blepharitis group and the seborrheic blepharitis group were both significantly decreased(P<0.05).CONCLUSION:The use of hypochlorous acid eye cleansing wipes to clean the eyelid margins for 1wk has a positive effect on different types of blepharitis.It could relieve the ocular symptoms of blepharitis and reduce the incidence of staphylococcal blepharitis and seborrheic blepharitis.Eyelid congestion,improve conjunctival hyperemia of seborrheic blepharitis,and improve tear film stability.