AIM: To study the detective methods in meibomian gland dysfunction(MGD)and provide the evidences for the diagnosis and treatment.METHODS: The clinical data of 96 MGD patients(192 eyes)from July 2012 to June 2014 in Departmetn of Ophthalmology, the First Affiliated Hospital of Yangtze University were retrospectively analyzed. The patients were detected by eyelid rims, slit lamp microscope, tear-film breakup time(BUT)and Schirmer I test(SⅠt). And they were comprehensively treated by eyelid rims cleaning, meibomian gland massages, squeezing tarsus, artificial tears, antibiotics and hormones.RESULTS: The average score of eyelid rims and the outflow of palpebral sebum respectively was 3.02±0.78, 1.90±0.76. The BUTs were abnormal in all patients, the average score of BUT was 4.3±1.9s; The S I t of 84 eyes were normal, that of 32 eyes were 5mm/5min <SIt≤10mm/5min, 76 eyes were≤5mm/5min, the average SⅠt score was 7.9±4.4mm/5min. The prognosis were good, the total effective rate was 90.6%.
CONCLUSION: The patients of MGD always cause some dry eye syndromes. We should timely and accurately diagnose and treat the MGD patients with eyelid rims, slit lamp microscope, BUT and SⅠt.