Observation of the effect of preoperative meibomian gland massage on dry eye patients with cataract complicated with meibomian gland dysfunction

QI Xueting; SUN Bei; ZHU Lili

Abstract：Objective:To analyze the effect of preoperative meibomian gland massage on ocular surface indexes and meibomian gland function in patients with cataract complicated with meibomian gland dysfunction.Methods:All 97 cat-aract surgery patients with meibomian gland dysfunction in department from June 2021 to June 2023 were divided into control group and observation group by toss method.The control group received routine perioperative care,on the basis of the control group observation group plus meibomian gland massage before one week.The sensory symptom score,oc-ular surface index,meibomian gland function and adverse events were compared between the two groups 1 month after operation.Results:Compared with 2 weeks before operation,the tear film break-up time(BUT),tear secretion test(SIT)and ocular surface disease index(OSDI)were prolonged 1 day before operation in the observation group.Com-pared with 1 day before operation,BUT and SIT were shortened and OSDI score was increased at 1 week and 1 month after operation.But and SIT were longer in the observation group than in the control group at 1 week and 1 month after operation,and the score of OSDI was lower in the observation group than in the control group at 1 week after opera-tion.One month after operation,the score of tarsal opening in the observation group was lower than that in the control group,and the height of lacrimal river in the observation group was higher than that in the control group.The scores of sensory symptoms in the observation group were lower than those in the control group at 1 and 3 months after opera-tion(P＜0.05).There was no significant difference in the incidence of adverse events between the two groups(P＞0.05).Conclusion:Preoperative meibomian gland massage can quickly and safely relieve sensory symptoms of patients with cataract complicated with meibomian gland dysfunction,and effectively improve meibomian gland function and ocu-lar surface indexes.