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dc.contributor.authorMagnø, Morten Schjerven
dc.contributor.authorOlafsson, Jonatan
dc.contributor.authorBeining, Marie
dc.contributor.authorMoschowits, Emily
dc.contributor.authorLagali, Neil
dc.contributor.authorWolffsohn, James S.
dc.contributor.authorCraig, Jennifer P.
dc.contributor.authorDartt, Darlene A.
dc.contributor.authorVehof, Jelle
dc.contributor.authorUtheim, Tor P.
dc.identifier.citationMagno, M.S., Olafsson, J., Beining, M., Moschowit, E., Lagali, N., Wolffsohn, J.S., Craig, J.P., Dartt, D.A., Vehof, J. & Utheim, T.P. (2021) Chambered warm moist air eyelid warming devices – a review. Acta Ophthalmologica.en_US
dc.description.abstractBackground Eyelid warming is an important treatment for meibomian gland dysfunction (MGD). Specialized chambered devices, using warm moist air have been developed. Purpose To critically evaluate the literature on the safety and efficacy of chambered warm moist air devices in MGD treatment and pinpoint areas of future research. Methods PubMed and Embase were searched on 06 June 2021. The search term was ‘(warm OR heat OR steam OR goggle OR spectacle OR moist air) AND (meibomian OR MGD OR blepharitis OR eyelid OR dry eye OR DED)’. All relevant articles with available English full text were included. Results Eighteen articles assessing the application of chambered warm moist air eyelid warming devices were identified. In single-application studies, steam-based eyelid warming increased the eyelid temperature and improved symptoms, lipid layer thickness, and tear film breakup time (TBUT). In treatment studies, the steam-based devices improved TBUT and symptom scores. However, in the only randomized controlled trial (RCT) comparing chambered steam-based heat to hot towel treatment, there was no difference between groups for the primary outcome measure; the proportion of subjects noting symptom improvement after 4 weeks. Conclusion Currently available chambered warm moist air eyelid warming devices are safe and effective at raising eyelid temperature to therapeutic levels and improving signs and symptoms of dry eye. However, it is not clear if they provide a greater benefit than other eyelid warming therapies. Further well-conducted RCTs comparing moist and dry heat devices should be conducted on patients across the range of DED severities and subtype spectrum.en_US
dc.publisherJohn Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.en_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.subjectoppvarming av øyelokken_US
dc.titleChambered warm moist air eyelid warming devices – a reviewen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© 2021 The Authors.en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Oftalmologi: 754en_US
dc.source.journalActa Ophthalmologicaen_US

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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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