Photobiomodulation (low-level light therapy) and dry eye disease

Clin Exp Optom. 2021 Jul;104(5):561-566. doi: 10.1080/08164622.2021.1878866. Epub 2021 Feb 27.

Abstract

Dry eye disease is one of the most common, chief-complaints presenting in clinical practice, with a prevalence of up to 50%. Evaporative dry eye, as a result of meibomian gland dysfunction, is thought to be the biggest component factor. Treatments for meibomian gland dysfunction aim to restore tear film homoeostasis and include warm compress therapy, eyelid hygiene, in-office meibomian gland expression and lipid-containing, artificial tears. A recent introduction to the in-office treatments available for meibomian gland dysfunction has been low-level light therapy, also known as photobiomodulation. The technique involves applying red, or near infra-red, radiation using low-power light sources and is suggested to promote tissue repair, decrease inflammation, and relieve pain. This work aims to review the available literature on the efficacy and safety of photobiomodulation in meibomian gland dysfunction and dry eye disease, as well as what is currently known about its mechanism of action.

Keywords: Dry eye disease; laser; light emitting diode; low level light therapy; meibomian gland dysfunction; photobiomodulation.

MeSH terms

  • Dry Eye Syndromes* / therapy
  • Eyelid Diseases*
  • Humans
  • Low-Level Light Therapy*
  • Meibomian Gland Dysfunction*
  • Meibomian Glands
  • Tears