Referenced Treatment Pathways
(The basis of this treatment pathway Geerling, et. Al. , Meibomian Gland Dysfunction Workshop, Ophthalmol Vis Sci. 2011 Mar 30;52(4):2050-64)
TREATMENT CONSIDERATIONS AFTER CLINICAL ASSESSMENT by STAGE and AGE
Scorpion-1 Touch Controller
THREE PRESET TIMES and TEMPERATURE MODES
All 4 eyelids Post Treatment Thermal Image
INDICATIONS FOR USE:
The Scorpion 1-Touch ophthalmic warmer is a powered heating pad for the application of localized heat therapy. Use for treatment when the current medical community recommends the application of a warm compress to the eyelids. Such applications would include Meibomian Gland Dysfunction (MGD), Dry Eye, Blepharitis, Stye, or Chalazia.
Surface temperature of this device can reach 55 °C or 131 °F, and eyelid skin temperatures can reach 44 °C or 111 °F.
The clinical effect of elevated skin temperatures are as follows according to the National Institute of Standards and Technology: American Society for Testing and Materials, ASTM C1055, Standard Guide for Heated Systems Surface Conditions That Produce Contact Burn Injuries, 4:6, ASTM West Conshohocken, PA, 1997:
44 °C (111 °F) Human skin temperature when pain is felt
48 °C (118 °F) Human skin temperature causing a first degree burn injury
55 °C (131 °F) Human skin temperature with blistering and second degree burn injury
The number of office treatments with the Scorpion 1-Touch system and Heated Eye Pad at home treatment is highly variable. The guidelines by Stage and Age provides a baseline for discussion with patients. In general, the more severe the MGD grade, the more frequent the heat.
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