ĐÁNH GIÁ ĐẶC ĐIỂM RỐI LOẠN CHỨC NĂNG TUYẾN MEIBOMIUS TRÊN BỆNH NHÂN KHÔ MẮT DO BAY HƠI TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: To evaluate the clinical characteristics of Meibomian Gland Dysfunction (MGD) in patients with evaporative dry eye and to analyze the correlation between MGD and the severity of dry eye disease. Subjects and Methods: A cross-sectional descriptive study was conducted on 110 patients diagnosed with evaporative dry eye at Bach Mai Hospital. Patients were assessed using the OSDI questionnaire for symptoms, clinical examination of the eyelids and lid margins, evaluation of Meibomian gland function (gland orifice obstruction and secretion quality), ocular surface damage, tear film breakup time (TBUT), and Schirmer I test. The severity of MGD and dry eye was classified according to the DEWS 2017 criteria and clinical grading scales. Results: Among 110 dry eye patients, the majority were found to have MGD. Female patients predominated, accounting for 81 cases (73.6%), while males made up 29 cases (26.4%). Most patients presented with typical symptoms such as itching, burning, sticky eyelids, and mild blurred vision. Meibomian gland obstruction grades 1 and 2 were the most common. There was a statistically significant correlation between MGD severity and age, gland obstruction, secretion quality, TBUT, and Schirmer I index (p < 0.05). Conclusion: Meibomian Gland Dysfunction is a common cause of evaporative dry eye, strongly associated with clinical symptoms. Early detection and comprehensive assessment of MGD are essential for guiding effective treatment in dry eye patients.