The study aims to evaluate the efficacy of conservative treatment of hordeolum with intense pulsed light (IPL), compared with the medication treatment of hordeolum. Eighty patients with hordeolum who received treatment at the ophthalmology clinic of Quzhou People’s Hospital from June 2023 to December 2024 were selected. Patients were randomly assigned to the control group and the experimental group using the principle of random allocation. The control group received external drug application combined with local hot compress treatment, while the experimental group received 1 session of IPL treatment for the ocular skin, followed by local hot compress treatment. Ocular surface disease index (OSDI) scores and noninvasive tear meniscus height information were collected from all patients with ocular discomfort symptoms before and after treatment. Furthermore, anterior segment photographs and images depicting meibomian gland morphology were obtained from patients both prior to and following treatment. The duration of recovery and surgical rates for the 2 groups were documented. A comparative analysis was conducted to evaluate the efficacy before and after treatment and to assess the differences between the 2 groups posttreatment. The results indicated no statistically significant difference in OSDI scores within the medication group before and after treatment ( P > .05). Conversely, the IPL group exhibited a statistically significant reduction in OSDI scores following treatment ( P < .05). Posttreatment, the medication group demonstrated higher OSDI scores, longer recovery times (in days) and increased surgical rates compared to the IPL group with these differences reaching statistical significance ( P < .05). Intense pulsed light is a more efficient and convenient method for treating hordeolum, compared with the medication treatment of hordeolum.
Lu et al. (Fri,) studied this question.