دورية أكاديمية
Surgical Punctal Occlusion; Combined Lacrimal Canaliculi Cauterization and Punctal Suturing for Severe Dry Eye
| العنوان: | Surgical Punctal Occlusion; Combined Lacrimal Canaliculi Cauterization and Punctal Suturing for Severe Dry Eye |
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| المؤلفون: | Kohei Kuroda, Hiroshi Toshida, Yoko Sorita, Kohei Ichikawa, Yusuke Matsuzaki, Toshihiko Ohta |
| المصدر: | Journal of Ophthalmic & Vision Research, Vol 18, Iss 2, Pp 143-149 (2023) |
| بيانات النشر: | Knowledge E, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Ophthalmology |
| مصطلحات موضوعية: | cauterization, dry eye, lacrimal canaliculi, lacrimal puncta, punctal occlusion, Ophthalmology, RE1-994 |
| الوصف: | Abstract Purpose: To evaluate the treatment outcome of surgical punctal occlusion with combined canaliculi ablation and punctal suturing in patients with severe dry eye. Methods: Eleven eyes of seven patients were diagnosed with severe dry eye with decreased lacrimal secretion and were refractory to treatment with various eye drops and/or had repeatedly experienced loss of punctal plugs, and continued to experience subjective symptoms received surgical punctal occlusion. In 20 puncta, lacrimal canaliculi ablation was performed along the entire length of the lacrimal canaliculus where a diathermy needle could be inserted. After resection of the annulus fibrosus in the peri-punctal area, tight cross-stitch suturing of the puncta was performed with 8-0 absorbent thread. Visual acuity, corneal staining score according to the area (A) and density (D) classification, and Schirmer tear test (STT); tear break up time (tBUT); and subjective symptoms assessed by the University of North Carolina (UNC) and Dry Eye Management Scale were compared before and one year after surgery. Results: Recanalization occurred in 1/20 puncta (5.0% at month 5) in 1/11 eyes. Student's t-test showed significant improvement at one year compared with preoperative values for LogMAR value (P = 0.019), corneal staining score A (P = 0.00003) and D (P = 0.0003), STT (P = 0.004), and subjective symptoms (P = 0.015). No change was shown in tBUT and no serious adverse event occurred. Conclusion: This improved, minimally invasive surgical procedure has a low recanalization rate and achieves both objective and subjective improvements at one year. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2008-2010 2008-322X |
| Relation: | https://doaj.org/toc/2008-2010; https://doaj.org/toc/2008-322X |
| DOI: | 10.18502/jovr.v18i2.13179 |
| URL الوصول: | https://doaj.org/article/3d61e9544bb74b0ea558731841dcd1f6 |
| رقم الأكسشن: | edsdoj.3d61e9544bb74b0ea558731841dcd1f6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20082010 2008322X |
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| DOI: | 10.18502/jovr.v18i2.13179 |