ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHÔ MẮT DO VIÊM BỜ MI TẠI BỆNH VIỆN TRƯỜNG ĐAI HỌC Y KHOA VINH

Abstract

Objective: to evaluate the treatment results of dry eye caused by blepharitis at Vinh Medical University Hospital. Method: Prospective, descriptive and non controlled study based  on 64 eyes of 32  patients with dry eye due to blepharitis at Vinh Medical University Hospital. Results: The study group encountered more women (78.1%), men 21.9%, average age was 48.5±8.1 years. Evaluating the general results of blepharitis treatment, cure is about 78.1% but there is a recurrence rate in the 2nd and 3rd months. Evaluating dry eye treatment: After 3 months of treatment, there are 87,5% of patients' symptoms improved well, and 12,5% of patients  rated no improvement. The number of patients diagnosed with crust eye with Schimer I test result <10mm gradually decreased through follow-up visits, the number of normal patients with result >10mm gradually increased, the difference before treatment and 1 month, 2 months and 3 months after treatment is statistically significant with p<0.05. The number of dry eyes patients with BUT ≤ 5s gradually decreased with follow-up visits, patients with TBUT > 5 seconds gradually increased after 1 month, 2 months and 3 months, the difference is statistically significant with p<0.05. OSDI score for assessing ocular surface damage gradually decreased through follow-up visits after 1 month, 2 months and 3 months of treatment, the difference was statistically significant with p < 0.05. The rate of high OSDI scores gradually decreased, the rate of low OSDI score increases gradually increased, the difference is statistically significant with p<0.05. Conclusion: After treatment: Physical symptoms decrease quickly, then slowly and may recur in the second month. Physical symptoms often decrease and disappear. Therefore, the treatment process must be persistent, prolonged and coordinated in treating both blepharitis and dry eyes.