Comparative Study Of Two In Office Procedures For Cleansing Of Biofilm From Lid Margin In Blepharitis Cases
Published 2022
- 40th Congress of the ESCRS
Reference: PO339
| Type: ESCRS 2022 - Posters
| DOI:
10.82333/t29m-vh59
Authors:
Kostas Boboridis* 1
, Agni Mokka 2
, Athanasios Oikonomou 1
13rd Ophthalmology Department,Aristotle University of Thessaloniki,Thessaloniki,Greece, 21st Ophthalmology Department,Aristotle University of Thessaloniki,Thessaloniki,Greece
Purpose
To investigate the relative effectiveness of two in office procedures for cleansing the biofilm from lid margin in blepharitis cases.
Setting
Prospective comparative pilot study of blepharitis case
Methods
The mechanical micro debridement with the Blephex which is considered the golden standard, is compared with the simple manual cleansing with wipes impregnated with 4-terpineol and 0,2% hyaluronic acid. We recorded the result right after cleansing as 0= no difference, 1= partial cleansing only on the skin in between lashes, 2= complete cleansing of skin, 3= complete removal of biofilm including lash roots.
Results
We have enrolled 40 consecutive cases of advance blepharitis over one year period (2021). Right after the Blephex procedure we have recorded complete cleansing of stage 3 in all cases. Digital cleansing with impregnated wipes achieved similar removal of biofilm from lid margin at the same time. Cleansing with wipes was more comfortable as pressure could be varied depending on the case in contrast to Blephex with stable pressure and rotation.
Conclusions
Both in office procedures offer complete cleansing of lid margin. A learning curve is required mainly for Blephex which is significantly more expensive both for device and consumables. The wipes with 4-terpineol may additionally eradicate demodex infestation. Treatment should be repeated at least 3 times with 2 weeks interval and patients should maintain adequate lid hygiene at home. The effect of cleansing on MGD, tear quality and symptoms need to be determined with a different trial.