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 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.
The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
Steven T H
ST
Yun
The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
David M
DM
Woo
The University of New South Wales, Sydney, NSW 2052, Australia.
Calum W K
CW
Chong
The University of New South Wales, Sydney, NSW 2052, Australia.
Ying
Y
Liu
The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
Katherine E
KE
Francis
The University of New South Wales, Sydney, NSW 2052, Australia.
Saumil A
SA
Shah
The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
Ashish
A
Agar
The Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
Ian C
IC
Francis