睑板腺功能评估（LipiScan或Meibography）
眼科项目
≈ ¥200-400
(≈ $30-60)
大约15-30分钟
免责声明：本站为医疗服务机构，页面信息部分由AI协助制作。健康相关信息不构成医疗建议。如有任何疑问，请咨询医疗专业人士。详情见免责声明
项目介绍
睑板腺功能评估（LipiScan或Meibography）在一般公立医院参考费用约¥140-320，三甲医院参考费用约¥200-400，常用于相关诊断评估与就医安排，费用随医院及地区有所差异。
主要用途
Primary clinical uses include: (1) objective diagnosis and staging of meibomian gland dysfunction (MGD); (2) monitoring structural progression of gland atrophy in chronic dry eye disease; (3) guiding and evaluating treatment efficacy (e.g., thermal pulsation, intense pulsed light, lid hygiene); (4) differential diagnosis of evaporative dry eye vs. aqueous-deficient dry eye; (5) preoperative assessment for refractive or cataract surgery in patients with ocular surface risk factors; (6) research applications in evaluating gland morphology changes in systemic diseases or drug trials.
正常值范围
No quantitative 'numerical' normal range exists for LipiScan or meibography, as it is an imaging-based qualitative/semi-quantitative assessment. Normal findings include: (1) continuous, well-defined, tortuous, and evenly distributed meibomian gland structures in both upper and lower eyelids; (2) gland dropout <10% (often assessed via validated grading scales such as the Meiboscore [0–3] or MGD Grading Scale); (3) no significant glandular atrophy, truncation, or dilation; (4) symmetric gland morphology between eyes; (5) clear glandular secretions visible on dynamic expression (if combined with functional testing). Quantitative metrics (e.g., gland area %, tortuosity index) are research-grade and lack universally accepted clinical thresholds.
偏低可能原因
Meibomian gland dysfunction (MGD), chronic blepharitis (especially posterior), aging (gland atrophy increases after age 40), hormonal changes (e.g., menopause, androgen deficiency), long-term contact lens wear, rosacea-associated ocular surface disease, prolonged screen use with reduced blink rate, systemic autoimmune conditions (e.g., Sjögren’s syndrome, rheumatoid arthritis)
偏高可能原因
Not applicable — meibography does not produce 'high values' in a pathological sense; apparent 'increased' gland visibility may reflect technical artifacts (e.g., excessive infrared illumination, poor lid eversion, or image over-enhancement), acute inflammation-induced gland dilation (rare and transient), or misinterpretation of hyperreflective debris or ductal plugs as gland tissue. True glandular hyperplasia is exceptionally rare and not clinically associated with standard meibography findings.