Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis
Background. This study evaluated the effectiveness of managing posterior blepharitis (PB) using a novel Posterior Blepharitis Management Protocol (PBMP). Design. Prospective, consecutive case series with 100% followup to one month. Participants. 27 patients (54 eyes) with PB from an Ophthalmology pr...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/617019 |
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| author | Steven T. H. Yun David M. Woo Calum W. K. Chong Ying Liu Katherine E. Francis Saumil A. Shah Ashish Agar Ian C. Francis |
| author_facet | Steven T. H. Yun David M. Woo Calum W. K. Chong Ying Liu Katherine E. Francis Saumil A. Shah Ashish Agar Ian C. Francis |
| author_sort | Steven T. H. Yun |
| collection | DOAJ |
| description | Background. This study evaluated the effectiveness of managing posterior blepharitis (PB) using a novel Posterior Blepharitis Management Protocol (PBMP). Design. Prospective, consecutive case series with 100% followup to one month. Participants. 27 patients (54 eyes) with PB from an Ophthalmology practice in Sydney, Australia. Methods. Each patient’s PB was assessed by grading the nature and expressibility of the central lower lid tarsal gland secretions on Compression Of The Eyelid (COTE). Patients were then instructed in detail to undertake daily PB management sessions at home using our modified PBMP. Main Outcome Measures. On a subjective scale, patients compared their symptoms at one month with baseline. COTE scores were reevaluated to assess the objective effectiveness of each individual’s PBMP. COTE scoring was described as grades 1 (clear oil), 2 (pus, liquid), 3 (toothpaste-like secretions), and 4 (complete tarsal gland obstruction). Results. Patients reported a mean 77.8% ± 13.5% subjective improvement in symptoms. There was a trend towards improvement in COTE grading at one month compared with baseline: grades 1 (0 to 7.4%), 2a (22.2 to 16.6%), 2b (7.4 to 3.7%), 3 (18.5 to 27.7%), and 4 (51.8 to 44%). Conclusions. PBMP provided a rapid, inexpensive, simple, effective, and safe method of treating PB. |
| format | Article |
| id | doaj-art-36e6354f1e70417fa965a90f62d1d0b7 |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-36e6354f1e70417fa965a90f62d1d0b72025-08-20T02:07:46ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/617019617019Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior BlepharitisSteven T. H. Yun0David M. Woo1Calum W. K. Chong2Ying Liu3Katherine E. Francis4Saumil A. Shah5Ashish Agar6Ian C. Francis7The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, AustraliaThe Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, AustraliaThe University of New South Wales, Sydney, NSW 2052, AustraliaThe University of New South Wales, Sydney, NSW 2052, AustraliaThe Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, AustraliaThe University of New South Wales, Sydney, NSW 2052, AustraliaThe Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, AustraliaThe Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, AustraliaBackground. This study evaluated the effectiveness of managing posterior blepharitis (PB) using a novel Posterior Blepharitis Management Protocol (PBMP). Design. Prospective, consecutive case series with 100% followup to one month. Participants. 27 patients (54 eyes) with PB from an Ophthalmology practice in Sydney, Australia. Methods. Each patient’s PB was assessed by grading the nature and expressibility of the central lower lid tarsal gland secretions on Compression Of The Eyelid (COTE). Patients were then instructed in detail to undertake daily PB management sessions at home using our modified PBMP. Main Outcome Measures. On a subjective scale, patients compared their symptoms at one month with baseline. COTE scores were reevaluated to assess the objective effectiveness of each individual’s PBMP. COTE scoring was described as grades 1 (clear oil), 2 (pus, liquid), 3 (toothpaste-like secretions), and 4 (complete tarsal gland obstruction). Results. Patients reported a mean 77.8% ± 13.5% subjective improvement in symptoms. There was a trend towards improvement in COTE grading at one month compared with baseline: grades 1 (0 to 7.4%), 2a (22.2 to 16.6%), 2b (7.4 to 3.7%), 3 (18.5 to 27.7%), and 4 (51.8 to 44%). Conclusions. PBMP provided a rapid, inexpensive, simple, effective, and safe method of treating PB.http://dx.doi.org/10.1155/2015/617019 |
| spellingShingle | Steven T. H. Yun David M. Woo Calum W. K. Chong Ying Liu Katherine E. Francis Saumil A. Shah Ashish Agar Ian C. Francis Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis Journal of Ophthalmology |
| title | Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis |
| title_full | Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis |
| title_fullStr | Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis |
| title_full_unstemmed | Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis |
| title_short | Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis |
| title_sort | utilisation of a novel test to measure severity and treatment efficacy of posterior blepharitis |
| url | http://dx.doi.org/10.1155/2015/617019 |
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