Editor’s Note: Welcome to “Let's Chat,” a blog series featuring contributions from members of the ophthalmic community. These blogs are an opportunity for ophthalmic bloggers to engage with readers with about a topic that is top of mind, whether it is practice management, experiences with patients, the industry, medicine in general, or healthcare reform. The series continues with this blog by Laura M. Periman, MD. The views expressed in these blogs are those of their respective contributors and do not represent the views of Ophthalmology Times or MultiMedia Healthcare, LLC.
Chalazion, that telltale “red bump” on the eyelid indicating an inflammatory lesion on a meibomain gland, is a fairly common sight in our practices.
Traditionally, we’ve sent patients home with warm compresses and a topical steroid/antibiotic drop or ointment. When these conservative measures fail, the lesions may require incision and drainage or an injection of triamcinolone acetonide (Kenalog, Bristol-Myers Squibb). In my clinic, we’re always looking for new things to offer our patients, so we’ve explored another treatment option with marked success: intense pulsed light (IPL) therapy.
IPL is indicated for benign inflammatory skin lesions. It is quite logical within that indication to treat inflammatory lesions on the skin of the eyelid with IPL technology and appropriate ocular protection in place.
There is a natural marriage between IPL’s mechanisms of action and the underlying causes of chalazia. IPL has demodicidal, anti-inflammatory, and anti-microbial, anti-telangiectatic properties, all of which address the inflammatory nature of chalazia. In addition, IPL features photobiomodulation, a process that stimulates cell mitochondria, promoting healthy cell function.
Using sixth-generation IPL technologies (Optima IPL with the OPT technology, Lumenis), coupled with a laser-grade corneal shield, my clinic has seen excellent success with IPL therapy for both acute and chronic chalazia.
Laura M. Periman, MD
E: [email protected]
Laura M. Periman, MD, Ocular Surface Disease Expert and Director of Dry Eye Services and Clinical Research at Evergreen Eye Center in Seattle, WA. She discloses a relationship with Allergan, Bruder, BioTissue, Eyedetec, Lumenis, Science Based Health, Shire, Sun, TearLab and Visant.