Value of meibography of the upper eyelid in meibomian gland dysfunction Tohru Matsuoka 1 , Takashi Fujimura 1 , Shuuichi Oogaki 1 , Eiichi Hasegawa 1 1Dept of Ophthalmol, Kagawa Med Sch pp.389-393
Published Date 1999/3/15
DOI https://doi.org/10.11477/mf.1410906245
  • Abstract
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We performed video-meibography of the upper and lower eyelids. The cases comprised 48 eyes of 28 patients with subjective symptoms of meibomian gland dysfunction and normal tear secretion, and another series of 35 eyes in 22 patients without subjective symptoms and with normal tear secretion. During meibography, a light source was placed posterior to the eyelid and the transillumination findings were documented using a video system. The mojority of patients showed similar severity of meibomian gland dysfunction in both upper and lower eyelids. There were cases of upper eyelid dysfunction in spite of mild lower eyelid dysfunction, absent subjective symptoms and normal tear film breakup time (BUT). Some cases of marked dysfunction in the lower eyelid showed normal findings in the upper eyelid with normal BUT and no subjective symptoms. These findings show that meibomgraphy has to be performed not only on the lower eyelid but on the upper eyelid also for proper evaluation of meibomian gland dysfunction.

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