Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study

Purpose: This study aimed to determine the effect of intense pulsed light (IPL) treatment on meibomian gland disease. Settings and Design: This is a prospective interventional study. Methods: Seventy eyes of patients with dry eye disease undergoing three sessions of IPL therapy, 15 days apart, were...

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Main Authors: Sourabh D Patwardhan, Ankita Sangle, Nidhi S Patwardhan, Seema Mane
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/IJO.IJO_1136_24
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author Sourabh D Patwardhan
Ankita Sangle
Nidhi S Patwardhan
Seema Mane
author_facet Sourabh D Patwardhan
Ankita Sangle
Nidhi S Patwardhan
Seema Mane
author_sort Sourabh D Patwardhan
collection DOAJ
description Purpose: This study aimed to determine the effect of intense pulsed light (IPL) treatment on meibomian gland disease. Settings and Design: This is a prospective interventional study. Methods: Seventy eyes of patients with dry eye disease undergoing three sessions of IPL therapy, 15 days apart, were included. Each patient completed the dry eye questionnaire (SPEED) for symptomatic assessment. Dry eye evaluation tests were performed, including Schirmer’s 1 test, meiboscopy, noninvasive tear break-up time (NIBUT) and interferometry. These tests were repeated before each IPL session. Statistical Analysis Used: Data analysis was performed using IBM SPSS Statistics software (Version 20, Inc., Chicago, Illinois, USA). To Kolmogorov–Smirnov test was used to assess the normality of the variables. The Chi-square test was applied for statistical analysis. Level of significance was set at p ≤ 0.05. Results: The mean symptom score from the dry eye questionnaire (SPEED) showed a significant reduction of 24.5% (p < 0.001) in symptoms. Schirmer’s 1 test showed an improvement of 16.43% on day 15 and 40.13% on day 45. Meiboscopy grade improved by 13.54% on day 45. NIBUT improved from 53.29% on day 15 to 135.53% on day 45. Interferometry showed an improvement of 58.91% on day 45. Conclusions: The various investigative tests demonstrated both qualitative and quantitative improvements in dry eye disease, and patients reported symptomatic relief. The effects of IPL therapy, in terms of symptomatic relief, continued to improve with each session. The quality of the tear film also improved progressively. IPL therapy is a potential therapeutic option for MGD.
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spelling doaj-art-3cb1916a14c848a6930cb54a8b2399632025-08-20T02:12:25ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-04-0173459059310.4103/IJO.IJO_1136_24Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective studySourabh D PatwardhanAnkita SangleNidhi S PatwardhanSeema ManePurpose: This study aimed to determine the effect of intense pulsed light (IPL) treatment on meibomian gland disease. Settings and Design: This is a prospective interventional study. Methods: Seventy eyes of patients with dry eye disease undergoing three sessions of IPL therapy, 15 days apart, were included. Each patient completed the dry eye questionnaire (SPEED) for symptomatic assessment. Dry eye evaluation tests were performed, including Schirmer’s 1 test, meiboscopy, noninvasive tear break-up time (NIBUT) and interferometry. These tests were repeated before each IPL session. Statistical Analysis Used: Data analysis was performed using IBM SPSS Statistics software (Version 20, Inc., Chicago, Illinois, USA). To Kolmogorov–Smirnov test was used to assess the normality of the variables. The Chi-square test was applied for statistical analysis. Level of significance was set at p ≤ 0.05. Results: The mean symptom score from the dry eye questionnaire (SPEED) showed a significant reduction of 24.5% (p < 0.001) in symptoms. Schirmer’s 1 test showed an improvement of 16.43% on day 15 and 40.13% on day 45. Meiboscopy grade improved by 13.54% on day 45. NIBUT improved from 53.29% on day 15 to 135.53% on day 45. Interferometry showed an improvement of 58.91% on day 45. Conclusions: The various investigative tests demonstrated both qualitative and quantitative improvements in dry eye disease, and patients reported symptomatic relief. The effects of IPL therapy, in terms of symptomatic relief, continued to improve with each session. The quality of the tear film also improved progressively. IPL therapy is a potential therapeutic option for MGD.https://journals.lww.com/10.4103/IJO.IJO_1136_24dry eye questionnaire - speedintense pulsed light therapyinterferometrymeibomian gland diseasemeiboscopy
spellingShingle Sourabh D Patwardhan
Ankita Sangle
Nidhi S Patwardhan
Seema Mane
Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
Indian Journal of Ophthalmology
dry eye questionnaire - speed
intense pulsed light therapy
interferometry
meibomian gland disease
meiboscopy
title Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
title_full Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
title_fullStr Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
title_full_unstemmed Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
title_short Quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy, a prospective study
title_sort quantitative and qualitative assessment of evaporative dry eye post intense pulsed light therapy a prospective study
topic dry eye questionnaire - speed
intense pulsed light therapy
interferometry
meibomian gland disease
meiboscopy
url https://journals.lww.com/10.4103/IJO.IJO_1136_24
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