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Hot towels: The bed...
Hot towels: The bedrock of Meibomian gland dysfunction treatment-A review
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- Magno, Morten Schjerven (författare)
- Sorlandet Hosp Arendal, Norway; Oslo Univ Hosp, Norway; Univ Groningen, Netherlands; Oslo Univ Hosp, Norway; Univ Oslo, Norway
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- Olafsson, Jonatan (författare)
- Oslo Univ Hosp, Norway; Univ Oslo, Norway
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- Beining, Marie (författare)
- Oslo Univ Hosp, Norway; Univ Oslo, Norway
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- Moschowits, Emily (författare)
- Oslo Univ Hosp, Norway
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- Lagali, Neil (författare)
- Linköpings universitet,Avdelningen för sinnesorgan och kommunikation,Medicinska fakulteten,Sorlandet Hosp Arendal, Norway
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- Wolffsohn, James S. (författare)
- Aston Univ, England
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- Craig, Jennifer P. (författare)
- Univ Auckland, New Zealand
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- Vehof, Jelle (författare)
- Univ Groningen, Netherlands; Vestfold Hosp Trust, Norway; Univ Groningen, Netherlands; Dutch Dry Eye Clin, Netherlands
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- Dartt, Darlene A. (författare)
- Harvard Med Sch, MA 02114 USA
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- Utheim, Tor P. (författare)
- Sorlandet Hosp Arendal, Norway; Oslo Univ Hosp, Norway; Oslo Univ Hosp, Norway; Oslo Univ Hosp, Norway; Stavanger Univ Hosp, Norway; Vestre Viken Hosp Trust, Norway; Oslo Metropolitan Univ, Norway; Univ Bergen, Norway; Univ Stavanger, Norway; Univ Oslo, Norway; Univ South Eastern Norway, Norway; Univ Agder, Norway; Norwegian Dry Eye Clin, Norway
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(creator_code:org_t)
- ELSEVIER, 2023
- 2023
- Engelska.
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Ingår i: Contact lens & anterior eye. - : ELSEVIER. - 1367-0484 .- 1476-5411. ; 46:2
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Meibomian gland dysfunction (MGD) reduces quality-of-life and hinders work productivity of millions of patients, with high direct and indirect societal costs. Thickened meibum obstructs the glands and disrupts ocular surface health. Heating the eyelids to soften and express meibum from the glands can be beneficial. The most accessible method for eyelid warming uses heated, wet towels. However, the efficacy of this treatment is reliant on the methodology, and evidence-based best-practice recommendations are needed. Purpose: To evaluate the literature on hot towels in MGD treatment and recommend a best-practice protocol for future research and patient treatment.Methods: Studies were identified through PubMed on the May 28, 2021, with the search terms: (warm* OR heat* OR thermal* OR towel OR wet towel) AND (meibomian OR MGD OR eyelid OR "dry eye" OR DED). All relevant original articles with English full-text were included.Results: The search yielded 903 results, of which 22 met the inclusion criteria. Across studies, hot towels were found to be effective at reducing ocular symptoms. However, without reheating, the temperature quickly fell below the therapeutic range, which was deemed to be between 40 degrees C and 47 degrees C. Towels heated to around 45 degrees C and reheated every-two minutes were most effective at increasing eyelid temperature, comparable or better than several commercially available eyelid warming devices. No adverse effects were reported in the studies. Conclusion: Hot towel treatment effectively warms the eyelids and reduces ocular symptoms, but must be standardized, and towels reheated to achieve maximum benefit. Future research should assess patient satisfaction with different hot towel treatment methods that reheat or replace the towel at least every-two minutes, to establish which methods yield the greatest compliance. Guidelines or clinical recommendations that do not mention the need for regular reheating during hot towel compress treatment should be updated to include this.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
Nyckelord
- Hot towels; Eyelid warming; Dry eye disease; Meibomian gland dysfunction; Evaporative dry eye
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Magno, Morten Sc ...
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Olafsson, Jonata ...
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Beining, Marie
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Moschowits, Emil ...
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Lagali, Neil
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Wolffsohn, James ...
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visa fler...
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Craig, Jennifer ...
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Vehof, Jelle
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Dartt, Darlene A ...
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Utheim, Tor P.
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