Assessment of Ocular Surface Damage during the Course of Type 2 Diabetes Mellitus

Figure 2

Noninvasive meibographic images of the upper and lower eyelids, respectively. (a) No morphologic changes of meibomian glands in either eyelid were apparent (meiboscore of 0). (b) Minor morphologic changes of meibomian glands in both upper and lower eyelids were apparent (meiboscore of 1). The arrow in the upper eyelid shows the partial absence of meibomian glands, and the arrow in the lower eyelid shows a minor distortion of meibomian glands. (c) Less than 1/3 of the meibomian gland loss and minor morphologic changes in both upper and lower eyelids were apparent (meiboscore of 2). The arrow in the upper eyelid shows partial distortion of meibomian glands, and the arrow in the lower eyelid shows an obvious meibomian gland loss. (d) More than 2/3 of shortening, distortion, and dilation of meibomian glands were observed in both eyelids (meiboscore of 5). The arrow in the upper eyelid shows a large area of meibomian gland loss, and the arrow in the lower eyelid shows a significant distortion and dilatation of meibomian glands.

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