Sondaje intraductal de las glándulas de Meibomio para el tratamiento de blefaritis posterior severa / Intraductal meibomian gland probing for the treatment of blepharitis

OBJETIVO: Describir los resultados del sondaje intraductal de las glándulas de Meibomio como tratamiento de la blefaritis posterior severa. MÉTODOS: Estudio prospectivo, longitudinal, de pacientes con signos y síntomas de blefaritis posterior severa, los cuales fueron tratados con sondaje intraductal de las glándulas de Meibomio. Se incluyó a 16 pacientes, 62,5% femeninos y 32,5% masculinos, con diagnóstico de blefaritis posterior severa y se realizó el tratamiento en uno de los ojos. Se valoró el tiempo de rotura de la película lagrimal y, en una escala subjetiva del 0-10, mejoría subjetiva de la agudeza visual, molestia subjetiva al parpadeo y fotofobia, antes del procedimiento, a la semana y 6 meses después. RESULTADOS: El 100% de los pacientes mostró mejoría estadísticamente significativa en las 4 variables estudiadas a la semana y a los 6 meses. No se presentó ninguna complicación. DISCUSIÓN: La disfunción de las glándulas de Meibomio constituye una causa frecuente de consulta en oftalmología. Este estudio tuvo como objetivo describir los resultados obtenidos al realizar un sondaje intraductal, que mostró ser seguro y eficaz en el 100% de la muestra a los 6 meses. CONCLUSIONES: Podemos concluir en este estudio que el sondaje intraductal de las glándulas de Meibomio se trata de un procedimiento eficaz y prometedor para los que muestras resistencia al tratamiento conservador

OBJECTIVE: To describe the results of the meibomian gland probing as a treatment of severe posterior blepharitis. METHODS: Prospective, longitudinal study of patients with signs and symptoms of severe posterior blepharitis, who were treated with meibomian gland probing in Centro Oftalmológico Interlomas (CENOFI). A total of 16 patients were included, 62.5% female and 32.5% male, diagnosed with severe posterior blepharitis. Treatment was performed in one eye. The time of rupture of the tear film was evaluated, using a subjective scale of 0-10 photophobia, the improvement in pain and visual acuity was measured before the procedure, and at one week and 6 months after. RESULTS: All the patients showed a statistically significant improvement in all 4 variables al 6 months. There were no complications. DISCUSSION: The dysfunction of the meibomian glands is a common reason for ophthalmology consulting. The study describes the results obtained by performing an intraductal survey, which was shown to be safe and effective in 100% of the sample. CONCLUSIONS: It can be concluded from this study that meibomian gland probing is an effective and promising treatment for blepharitis resistant to conservative treatment

[Intraductal meibomian gland probing for the treatment of blepharitis]. / Sondaje intraductal de las glándulas de Meibomio para el tratamiento de blefaritis posterior severa.

OBJECTIVE: To describe the results of the meibomian gland probing as a treatment of severe posterior blepharitis. METHODS: Prospective, longitudinal study of patients with signs and symptoms of severe posterior blepharitis, who were treated with meibomian gland probing in Centro Oftalmológico Interlomas (CENOFI). A total of 16 patients were included, 62.5% female and 32.5% male, diagnosed with severe posterior blepharitis. Treatment was performed in one eye. The time of rupture of the tear film was evaluated, using a subjective scale of 0-10 photophobia, the improvement in pain and visual acuity was measured before the procedure, and at one week and 6 months after. RESULTS: All the patients showed a statistically significant improvement in all 4 variables al 6 months. There were no complications. DISCUSSION: The dysfunction of the meibomian glands is a common reason for ophthalmology consulting. The study describes the results obtained by performing an intraductal survey, which was shown to be safe and effective in 100% of the sample. CONCLUSIONS: It can be concluded from this study that meibomian gland probing is an effective and promising treatment for blepharitis resistant to conservative treatment.

Abdominal wall hernia repair in patients with chronic renal failure and a dialysis catheter.

This paper describes the incisional hernia repair technique carried out on 50 patients with chronic renal insufficiency requiring continuous ambulatory peritoneal dialysis. The technique involved fixing a polypropylene mesh prosthesis to the deep face of lateral incisions into the aponeurosis of the rectus abdominis muscle. Under general or epidural anaesthesia the old scar was resected and the hernial sac dissected, care being taken not to open the peritoneum. At 5 cm from either side of the hernia margin, the aponeurosis was incised longitudinally and the adjacent muscle separated. The mesh was sutured to the deep face of the aponeurosis, covering the hernial defect. A Tenckhoff catheter was left in the abdominal cavity. Peritoneal dialysis was given to all 50 patients in the immediate postoperative period, with no leaking of the dialysis fluid. One year later there has been no recurrence. Prosthetic mesh fixed to the deep face of the abdominal aponeurosis at incisions lateral to the hernia margins, without opening the peritoneum, is an effective treatment of incisional hernia repair for patients on peritoneal dialysis and allows early institution of dialysis.