Interdisciplinary management of ocular rosacea: case series with the use of intense pulsed light
DOI:
https://doi.org/10.29176/2590843X.1991Keywords:
Evaporative dry eye syndrome, Intense pulsed light therapy, Meibomian gland dysfunction, Ocular rosaceaAbstract
Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film, secondary to its instability and hyperosmolarity, which is accompanied by ocular symptoms, inflammation and damage of the ocular surface with neurosensory abnormalities. We present a series of cases of patients under joint management with ophthalmology and dermatology, diagnosed with evaporative dry eye associated with ocular rosacea or meibomian gland dysfunction, treated with intense pulsed light on the eyelids. Improvement in quality of life was observed in relation to vision and ocular lubrication, explained by an increase in tear film breakup time. However, more research is required to evaluate the cost-effectiveness of IPL in the management of evaporative dry eye.
Author Biographies
Paola Andrea Macías-Arias, Hospital Universitario Centro Dermatológico Federico Lleras Acosta E.S.E., Bogotá, D.C.
Médico especialista en Dermatología. Bogotá D.C, Colombia
César González-Ardila, Bogotá D.C, Colombia
Médico especialista en Dermatología. Bogotá D.C, Colombia.
Laura Trujillo-Ramírez, Bogotá D.C, Colombia
Médica especialista en Dermatología. Bogotá D.C, Colombia.
Adriana Ofelia Fierro-Vitola, Bogotá D.C, Colombia
Médica especialista en Oftalmología. Bogotá D.C, Colombia.
Natalia Nempeque-Benítez, Bogotá D.C, Colombia
Médica general. Bogotá D.C, Colombia
References
Bron AJ, de Paiva CS, Chauhan SK, Bonini S, Gabison EE, Jain S, et al. TFOS Dews II pathophysiology report. The Ocular Surface. 2017 Jul;15(3):438–510. https://doi.org/10.1016/j.jtos.2017.05.011
Craig JP, Nichols KK, Akpek EK, Caffery B, Dua HS, Joo C-K, et al. TFOS DEWS II definition and classification report. The Ocular Surface. 2017 Jul;15(3):276–83. https://doi.org/10.1016/j.jtos.2017.05.008
Gupta PK, Vora GK, Matossian C, Kim M, Stinnett S. Outcomes of intense pulsed light therapy for treatment of evaporative dry eye disease. Canadian Journal of Ophthalmology. 2016 Aug 4;51(4):249–53. https://doi.org/10.1016/j.jcjo.2016.01.005
Liu R, Rong B, Tu P, Tang Y, Song W, Toyos R, et al. Analysis of cytokine levels in tears and clinical correlations after intense pulsed light treating meibomian gland dysfunction. American Journal of Ophthalmology. 2017 Nov 17;183:81–90. https://doi.org/10.1016/j.ajo.2017.08.021
Qin G, Chen J, Li L, Zhang Q, Xu L, Yu S, et al. Efficacy of intense pulsed light therapy on signs and symptoms of dry eye disease: A meta‑analysis and systematic review. Indian J Ophthalmol 2023;71:1316-25.
Schaumberg DA, Sullivan DA, Buring JE, Dana MR. Prevalence of dry eye syndrome among us women. American Journal of Ophthalmology. 2003 Aug;136(2):318–26. https://doi.org/10.1016/s0002-9394(03)00218-6
Stapleton F, Alves M, Bunya VY, Jalbert I, Lekhanont K, Malet F, et al. TFOS DEWS II epidemiology report. The Ocular Surface. 2017 Jul;15(3):334–65. https://doi.org/10.1016/j.jtos.2017.05.003
Toyos R, McGill W, Briscoe D. Intense pulsed light treatment for dry eye disease due to meibomian gland dysfunction; a 3-year retrospective study. Photomedicine and Laser Surgery. 2015 Jan 16;33(1):41–6. https://doi.org/10.1089/pho.2014.3819
Yin Y, Liu N, Gong L, Song N. Changes in the meibomian gland after exposure to intense pulsed light in meibomian gland dysfunction (MGD) patients. Current Eye Research. 2017 Dec 4;43(3):308–13. https://doi.org/10.1080/02713683.2017.1406525
Yu J, Asche CV, Fairchild CJ. The economic burden of dry eye disease in the United States: A decision tree analysis. Cornea. 2011 Apr;30(4):379–87. https://doi.org/10.1097/ico.0b013e3181f7f363
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Copyright (c) 2025 Paola Andrea Macías-Arias, César González-Ardila, Laura Trujillo-Ramírez, Adriana Ofelia Fierro-Vitola, Natalia Nempeque-Benítez
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