{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:27:12Z","timestamp":1788827232044,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T00:00:00Z","timestamp":1465344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","award":["14401931400"],"award-info":[{"award-number":["14401931400"]}],"id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the meibomian gland function, morphology and the related medical history of patients with blepharokeratoconjunctivitis (<jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content>) in comparison with healthy population and meibomian gland dysfunction (<jats:styled-content style=\"fixed-case\">MGD<\/jats:styled-content>)\u2010induced evaporative dry eye (<jats:styled-content style=\"fixed-case\">EDE<\/jats:styled-content>) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010two eyes of 22 Asian adult patients with <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> were enrolled as the <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group. Healthy volunteers and <jats:styled-content style=\"fixed-case\">MGD<\/jats:styled-content>\u2010induced <jats:styled-content style=\"fixed-case\">EDE<\/jats:styled-content> patients were recruited in a 1:1 ratio and were matched in age, and the gender compositions of the three groups were also comparable. Examinations included meibum quality, meibomian gland expressibility, meibomian gland dropout and relevant ocular surface tests. Related medical history was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group had higher incidences of chalazion (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.59, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.29\u201316.33) and eyelid surgery (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.91, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.33\u201318.21) than the control group (chalazion, p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.007; eyelid surgery, p<jats:italic>\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) and <jats:styled-content style=\"fixed-case\">EDE<\/jats:styled-content> group (chalazion, p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.031; eyelid surgery, p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.005) had. All clinical indexes were worse in the <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group than in the control group (all p<jats:italic>\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). The <jats:styled-content style=\"fixed-case\">EDE<\/jats:styled-content> group had better meibum quality (p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.049) and less meibomian gland dropouts (all p<jats:italic>\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05) than the <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group. The dropouts of the <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group were the highest among the three groups, and the distribution over the tarsal plate was even in the <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> group (all p<jats:italic>\u00a0<\/jats:italic>&gt;<jats:italic>\u00a0<\/jats:italic>0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> had worse meibomian gland function, poorer morphology and a higher rate of medical histories related to the meibomian gland than the healthy population. The <jats:styled-content style=\"fixed-case\">BKC<\/jats:styled-content> clinical features of meibum quality and meibomian gland dropout were different from other <jats:styled-content style=\"fixed-case\">MGD<\/jats:styled-content> diseases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13136","type":"journal-article","created":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T11:35:29Z","timestamp":1465385729000},"page":"634-638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["The evaluation of meibomian gland function, morphology and related medical history in Asian adult blepharokeratoconjunctivitis patients"],"prefix":"10.1111","volume":"95","author":[{"given":"Yue","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Vision Science The Eye &amp; ENT Hospital of Fudan University Shanghai China"},{"name":"Key Laboratory of Myopia Ministry of Health Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Science The Eye &amp; ENT Hospital of Fudan University Shanghai China"},{"name":"Key Laboratory of Myopia Ministry of Health Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ico.0000227889.11500.6f"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1869-5760-3-38"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/02713683.2014.971929"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2010.09.013"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-300771"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.01.021"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12034"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.10-6997c"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(77)90497-4"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2006.00665.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e318181a947"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.14-15512"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.10-6997a"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.10-6997e"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200001000-00014"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2013.02.014"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31826a04dd"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2007.04.017"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtos.2014.12.002"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003470050099"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.052134"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000533"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13136","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T14:53:17Z","timestamp":1695567197000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.13136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,8]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1111\/aos.13136"],"URL":"https:\/\/doi.org\/10.1111\/aos.13136","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,8]]},"assertion":[{"value":"2015-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}