{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:30:20Z","timestamp":1790793020403,"version":"4.1.0"},"reference-count":23,"publisher":"Media Sphere Publishing House","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rus. Ann. Ophthal."],"published-print":{"date-parts":[[2023,11,9]]},"abstract":"<jats:p>Purpose. The study comparatively evaluates the effectiveness of various approaches to acaricidal treatment in patients with chronic demodex blepharitis and meibomian gland dysfunctions. Material and methods. The study included 40 patients with chronic blepharitis (CB) of demodicosis etiology in conditions of meibomian gland dysfunction (MGD) and dry eye (DE). The 1st group of patients (20 people) received acaricidal treatment as part of therapeutic eyelid hygiene (TEH; 2 times a day) involving the use of \u00abBlefarogel ochishchenie\u00bb, \u00abBlefarolosion\u00bb, \u00abBlefarogel forte\u00bb (contains sulfur and metronidazole). Acaricidal treatment in the patients of the 2nd group involved applications of a product containing metronidazole (2 times a day) without TEH. Control points: 1) at inclusion in the study; 2) after a course of therapy (45 days). Evaluation included: patient acarograms, symptoms and signs of CB (points); OSDI; tear film break-up time (TBUT, sec), severity of meibomian gland dysfunction (S-MGD, points). Statistical analysis: calculation of M\u00b1SD, Mann\u2014Whitney, and Wilcoxon tests. Results. Acaricidal treatment was effective in both groups (reduction in demodex population, which was more pronounced in the 1st group). Symptoms and signs of CB were significantly less pronounced in the patients of the 1st group after therapy. The patients of the 1st group showed a significant decrease in S-MGD, OSDI and an increase in TBUT, the 2nd group \u2014 a significant decrease in OSDI and an increase in TBUT at the second control point. The positive OSDI and TBUT trends were significantly more pronounced in the 1st group. Conclusion. Acaricidal treatment as part of TEH showed a significantly more pronounced reduction in demodex population, relief of CB symptoms and sign, OSDI decrease and TBUT increase, compared to the 2nd group. Apparently, this was associated with combined acaricidal effect and significant S-MGD decrease in the patients of the 1st group.<\/jats:p>","DOI":"10.17116\/oftalma202313905136","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T10:18:18Z","timestamp":1699525098000},"page":"36","source":"Crossref","is-referenced-by-count":6,"title":["Acaricidal therapy in chronic demodex blepharitis and meibomian gland dysfunctions"],"prefix":"10.17116","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7371-689X","authenticated-orcid":false,"given":"S.V.","family":"Yanchenko","sequence":"first","affiliation":[{"name":"Kuban State Medical University","place":["Krasnodar, Russia"]},{"name":"Scientific Research Institution \u2014 Ochapovsky Regional Clinical Hospital No. 1","place":["Krasnodar, Russia"]},{"name":"Bukhara State Medical Institute named after Abu Ali ibn Sino","place":["Bukhara, Republic of Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.V.","family":"Malishev","sequence":"additional","affiliation":[{"name":"Kuban State Medical University","place":["Krasnodar, Russia"]},{"name":"Scientific Research Institution \u2014 Ochapovsky Regional Clinical Hospital No. 1","place":["Krasnodar, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1996-4275","authenticated-orcid":false,"given":"Sh.Zh.","family":"Teshaev","sequence":"additional","affiliation":[{"name":"Bukhara State Medical Institute named after Abu Ali ibn Sino","place":["Bukhara, Republic of Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2271-2933","authenticated-orcid":false,"given":"Zh.O.","family":"Sapharov","sequence":"additional","affiliation":[{"name":"Bukhara branch of the Republican Specialized Scientific and Practical Center for Eye Microsurgery","place":["Bukhara, Republic of Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-1157","authenticated-orcid":false,"given":"L.M.","family":"Petrosyan","sequence":"additional","affiliation":[{"name":"Scientific Research Institution \u2014 Ochapovsky Regional Clinical Hospital No. 1","place":["Krasnodar, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8825-8134","authenticated-orcid":false,"given":"G.R.","family":"Odilova","sequence":"additional","affiliation":[{"name":"Bukhara State Medical Institute named after Abu Ali ibn Sino","place":["Bukhara, Republic of Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6960-5284","authenticated-orcid":false,"given":"Sh.Sh.","family":"Ramazonova","sequence":"additional","affiliation":[{"name":"Bukhara State Medical Institute named after Abu Ali ibn Sino","place":["Bukhara, Republic of Uzbekistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6743","reference":[{"key":"key-10.17116\/oftalma202313905136-1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtos.2017.08.003"},{"key":"key-10.17116\/oftalma202313905136-2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtos.2017.05.003"},{"key":"key-10.17116\/oftalma202313905136-3","doi-asserted-by":"publisher","DOI":"10.18008\/1816-5095-2020-2-281-289"},{"key":"key-10.17116\/oftalma202313905136-4","doi-asserted-by":"crossref","unstructured":"Peral A, Alonso J, Garsia-Garsia C, Nino-Rueda C, Calvo del Bosque P Importance of lid hygiene before ocular surgery: qualitative and quantitative analysis of eyelid and conjunctiva microbiota. 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