Effectiveness of different methods in the treatment of moderate to severe meibomian gland dysfunction

AIM: To evaluate the clinical effectiveness of different methods for moderate to severe meibomian gland dysfunction(MGD)related dry eye.METHODS: The clinical data of 72 patients(144 eyes)with MGD related dry eye treated from March 2020 to September 2021 in the ophthalmology clinic of Xi'an International Medical Center Hospital were retrospectively analyzed. They were divided into moderate group(1/30.05). In the moderate group, the OSDI scores of group A and group B were significantly decreased, and the results of NIBUTav and R-scan analysis were significantly improved(P0.05). In the severe group, NIBUTav of the patients in group A improved significantly(P0.05), while the OSDI scores of the patients in group B were significantly decreased. And the results of NIBUTav and R-scan analysis were significantly improved(P0.05).CONCLUSION: Both therapies were effective for moderate meibomian gland dysfunction related dry eye, while severe meibomian gland dysfunction related dry eye should be treated with fumigation massage of meibomian gland combined with intense pulsed light.