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Assessment of the influence of cataract surgery on obstructive meibomian gland dysfunction

Poster Details

First Author: Y.Sun CHINA

Co Author(s):    G. Deng   Z. Sun   P. Song              

Abstract Details


 To evaluate the Influence of Cataract Surgery on obstructive meibomian gland dysfunction (MGD) with different preoperative statuses.


The Third People’s Hospital of Changzhou, Changzhou, China.


A total of 50 eyes with none-mild obstructive MGD and 90 eyes with moderate obstructive MGD were enrolled. All participants had successful cataract surgery and were examined preoperatively and postoperatively for ocular symptom score (OSS), non-invasive tear film break up time (NIBUT), corneal fluorescein staining (FL), Schirmer I test, lid margin, meibum quality and expressibility and meibomian gland dropout.


Ocular surface disorders and MGD showed an aggravated status at 1-month postoperatively in MGD patients with different preoperative statuses, as represented by a low NIBUT and high ocular symptom, lid margin, and meibum-quality and expressibility scores. Compared with none-mild MGD, the changes in OSS, NIBUT, FL and meibum-quality were significantly greater in moderate MGD at 1-month postoperatively. At 3-months postoperatively, the aggravated MGs parameters returned to the preoperative level in both none-mild MGD and moderate MGD. The patients with moderate MGD who received the well-designed anti-inflammatory management preoperatively showed lower aggravated level of ocular surface and MGD at 1-month postoperatively.


Obstructive MGD may be aggravated after cataract surgery in short-term, and the aggravated status recovered at 3 months postoperatively. Anti-inflammatory management weakens the aggravation of obstructive MGD in short-term postoperatively.

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