Medicine
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梅博米安腺体功能障碍治疗干眼症的强脉冲光
Chapters
Summary April 1st, 2019
Please note that all translations are automatically generated.
Click here for the English version.
干眼症是一种越来越常见的疾病, 严重损害患者的生活质量。最近, 一种新的设备使用强脉冲光, 专门为眼周区域设计, 已被证明, 以改善泪膜稳定性和眼不适症状干眼症, 由于美波米腺功能障碍。
Transcript
美博米腺功能障碍通常由慢性疗法管理，通常只提供部分或短期缓解干眼症状。强调节脉冲光装置发出多种多色光脉冲，加热眼睑皮肤，刺激美波米腺，减少抗炎介质和撕裂细胞因子的释放。打开 SBM .C的 I.P.程序，打开连接到设备的计算机上。
输入患者的数据，并在菜单中选择适当的检查。指示患者将下巴和额头放在带仪器的狭缝灯上的正确位置，进行非侵入性 BUT 检查。非侵入性但后，检查脂层厚度。
对于美博米腺损失评估，选择美博米腺检查。使用棉签轻轻擦拭下眼睑，获得下眼睑内部分的红外图像，以获得美博尼腺的高质量图像。在触摸屏上绘制眼睑区域的边缘，然后单击以填充该区域。
系统将自动计算美博尼腺面积相对于眼睑总面积的百分比。对于强烈的脉冲光治疗，请舒适地让患者坐下，然后按下控制单元上的启动按钮以激活设备。要选择治疗美博米腺功能障碍，请按相应的液晶触摸屏按钮，并使用上下箭头选择所需的治疗能量水平。
按刻度确认选择，然后按六个图标一个一个来验证六个安全功能。按刻度以确认该过程完全安全执行，然后再次按刻度以启动设备。当设备准备好治疗时，将护目镜放在患者的眼睛上，并戴上安全眼镜。
从鼻子边缘到寺庙，在患者下眼睑下的皮肤上涂抹至少一厘米厚的光学凝胶。从中央单元上取下设备手提件，轻轻将手头与要处理区域的皮肤直接接触。按下手提上的启动按钮，发出单个处理强烈的脉冲光脉冲，然后沿着凝胶处理区域在尽可能靠近下眼睑边缘处的四个额外的强脉冲光脉冲。
应用最后一个脉冲后，轻轻从处理的皮肤区域取出光学凝胶，并在两眼眼睑上进行热压缩两到三分钟。在这项研究中，19名患者接受了强烈的脉冲光。第三次治疗期后15天，非侵入性破裂时间显著增加，脂层厚度等级明显改善。
未观察到梅博米腺丧失的统计显著变化，而泪性在治疗后呈下降趋势。17名患者在治疗后表现出眼部不适症状的改善，与脂层厚度的改善结果直接相关，对强烈的脉冲光治疗作出反应。在受梅博米腺功能障碍影响的患者中，密集调节脉冲光治疗似乎有效改善干眼体和症状。
每六至八个月可能需要定期重复治疗，在三次启动后，才能在一段时间中保持手术的好处。
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