Clinical-epidemiological profile, risk factors and quality of life of patients with meibomian gland dysfunction

ABSTRACT Objective: To investigate clinical-epidemiological profile, risk factors, and quality of life of patients with meibomian gland dysfunction. Methods: A total of 108 patients were prospectively studied. Symptoms of dry eye, eyelid disorders and secretory function were analyzed. Laboratorial...

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Main Authors: Thaissa Faloppa Duarte, Rubens Camargo Siqueira
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2025-06-01
Series:Revista Brasileira de Oftalmologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802025000100216&lng=en&tlng=en
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Summary:ABSTRACT Objective: To investigate clinical-epidemiological profile, risk factors, and quality of life of patients with meibomian gland dysfunction. Methods: A total of 108 patients were prospectively studied. Symptoms of dry eye, eyelid disorders and secretory function were analyzed. Laboratorial exams included fasting glucose, glycated hemoglobin, cholesterol, and triglycerides. Quality of life was analyzed using the Ocular Surface Disease Index©. Results: Mean age was 53.6 ± 17.9 years, 69.4% were females, 82.7% with gynecological history, 46.3% with cardiovascular history, and 80.6% had family history of cardiovascular disease. Symptoms were mild (28.7%) or moderate (38%), most of the patients showed slightly thickened eyelid margin (44.4%) and all functional glands (50.9%). Regarding clinical severity of patients, 34.3% were mild, 34.3% were moderate, and 31.4% were severe. In 11.3% and 19.6% of the patients, high fasting glucose and glycated hemoglobin levels, respectively, were found. There was association among severity and gynecological (p=0.001), cardiovascular (p=0.006) history, and quality of life (p<0.001). Conclusion: Meibomian gland dysfunction was predominant in female and in the fifth decade of life. Most patients had all functional Meibomian glands and signs of evaporative dry eye. Glucose and lipid profile levels may be altered in these patients. Most patients had worse life quality. There was association among clinical severity and gynecological, cardiovascular history, and quality of life.
ISSN:1982-8551