The Effects of Warm Compression on Eyelid Temperature and Lipid Layer Thickness of Tear Film.
10.3341/jkos.2016.57.6.876
- Author:
Dong Wan KANG
1
;
Young Sub EOM
;
Jay Won RHIM
;
Su Yeon KANG
;
Hyo Myung KIM
;
Jong Suk SONG
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Eye lid temperature;
Lipiview;
Meibomian gland dysfunction;
Warm compression
- MeSH:
Dry Eye Syndromes;
Eye Diseases;
Eyelids*;
Hot Temperature;
Humans;
Massage;
Meibomian Glands;
Tears*
- From:Journal of the Korean Ophthalmological Society
2016;57(6):876-880
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Warm compression using a commercial heat pad was used to evaluate the effects of temperature on the eyelids and tear film lipid layer thickness. METHODS: Targeting 13 patients (26 eyes) with non-specific eye disease such as dry eye syndrome or Meibomian gland dysfunction, we measured the average thickness of the tear film lipid layer in both eyes with the LipiView 2® System (Tearscience®, Morrisville, NY, USA). We performed warm compression on the right eye only in order to evaluate the effectiveness of massage and measured the temperature of the right eye lid immediately, 3 minutes, and 5 minutes after compression in order to compare with the untreated left eye. After warm compression for 5 minutes, we measured tear film lipid layer thickness of both eyes and analyzed the effectiveness of warm compression. RESULTS: The average tear film lipid layer thickness was 55.1 ± 21.0 nm in the right eyes and 53.9 ± 13.9 nm in the left eyes (p = 0.474). Before performing the warm compression, the temperature of the right eye lid was 53.9 ± 13.9 nm, and that of the left was 35.9 ± 0.2℃. The eye lid temperature of the right eye immediately, 3 minutes, and 5 minutes after warm compression was 40.3 ± 1.3℃, 40.3 ± 1.3℃, and 40.3 ± 1.9℃, respectively, and these temperatures were relatively constant during the massage. Tear film lipid layer thickness after warm compression in the right eye was 83.5 ± 18.8 nm, which was increased compared to the original temperature (p = 0.001) and showed significant difference compared with the 65.5 ± 27.1 nm in the left eye (p = 0.005). CONCLUSIONS: Warm compression increased the tear film lipid layer thickness and showed a relatively constant increased temperature of 40.3℃ over 5 minutes. This technique will be helpful for maintaining tear film lipid layer thickness in patients with Meibomian gland dysfunction.
