OCTOBER 2019 | EYEWORLD | 63
C
Contact
information
Sheppard:
jsheppard@vec2020.com
Rowen: srowen10@gmail.com
Gupta: preeyakgupta@gmail.com
Periman:
lauraperiman@yahoo.com
preferable in cases of excessive lid laxity or
significant meibomian gland shortening.
Dr. Gupta said practices treating many
aspects of dry eye can find it helpful to incor-
porate various technologies to provide more
systematic relief of MGD while providing com-
plimentary treatments for the ocular surface.
Debridement advantage
Lid margin debridement improves the expres-
sion of the glands because it cleans off bacteria
and sometimes the blockages of the anterior
glands, Dr. Rowen said.
"It helps to make sure that the pores to the
glands are open," Dr. Rowen said.
Dr. Gupta said debridement of the lid with
a blunt spatula in the clinic can help, but more
research is needed on combining microbleph-
The iLux uses a single-use tip with an inner pad that slips behind the eyelid and an outer pad that's pressed against
the outer surface of the eyelid during heating and compression.
Source: Preeya Gupta, MD
Reference
Hamblin MR. Shining light on
the head: Photobiomodulation
for brain disorders. BBA Clin.
2016;6:113–124.
Relevant financial
interests
Sheppard: None
Rowen: Alcon, Johnson &
Johnson Vision
Gupta: Alcon, Johnson & Johnson
Vision
Periman: Allergan, Bruder
Healthcare, Eyedetec, Johnson
& Johnson Vision, Novartis,
ScienceBased Health, Sun
aroexfoliation with the meibomian expression
procedure.
Home option?
Views on home use of iLux were split among
surgeons using the device.
Both Dr. Gupta and Dr. Rowen viewed
patient self-use of the device as unlikely to
provide reliable results.
However, Dr. Sheppard said he didn't see
why a perceptive and dexterous family member
couldn't be taught how to use it effectively at
home or in the setting of an immobile debilitat-
ed symptomatic patient.
"That might provide another opportunity
for the manufacturer," Dr. Sheppard said. "You
don't need excessive understanding to use the
iLux."
