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Oral Pulse Azithromycin versus 6-week Doxycycline for Moderate to Severe Meibomian Gland Dysfunction: Randomised Clinical Trial

Phase 4
Completed
Conditions
Moderate to Severe Meibomian Gland Dysfunction
MGD, Moderate to Severe MGD, Moderate to Severe Meibomian Gland Dysfunction
Registration Number
TCTR20180810001
Lead Sponsor
Faculty of medicine, Chiang Mai university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
150
Inclusion Criteria

Moderate to severe MGD patients (over the age of 18 years) who had not responded to conservative management: eyelid warming/massage/cleaning (4-5 min) twice a day and artificial tears (at least four times a day)

Exclusion Criteria

1.History of vernal and atopic keratoconjunctivitis
2.History of rosacea
3.Altered lid anatomy
4.History of ocular and ocular adnexal surgery or punctual occlusion
5.Had taken systemic or topical antibiotics or retinoic acid or using topical anti-inflammatory medication (steroids or cyclosporin) within 1 month prior to the enrollment
6.Allergy to azithromycin, erythromycin, tetracycline or macrolide group
7.History of side-effect symptoms from the previous use of azithromycin or doxycyline or macrolides that persist or affect daily life
8.History of liver disease, renal disease, arrythmia or HIV infection
9.Pregnancy or breast feeding or plan to pregnant within 3 months
10.Contact lens use within 3 month prior to inclusion
11.Inability to comprehend the informed consent or complete the requested therapy and follow-up
12.Reject to sign an inform consent form

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Efficacy of oral pulse azithromycin and doxycycline Pre-treatment and at 8th week after treatment Reduction of score (6-sign score, 5-symptom score and total score)
Secondary Outcome Measures
NameTimeMethod
Satfy of oral pulse azithromycin and doxycycline Pre-treatment, 6th and 8th week after treatment Presence of signs or symptoms
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