The Effects of Surgical Punctual Occlusion on Patients with Aqueous Deficient Dry Eye
- Authors
- Ahn, So Min; Eom, Young Sub; Rhim, Jay Won; Kang, Su Yeon; Kim, Hyo Myung; Song, Jong Suk
- Issue Date
- 2월-2016
- Publisher
- KOREAN OPHTHALMOLOGICAL SOC
- Keywords
- Corneal staining; Dry eye; Punctal occlusion; Sjogren syndrome
- Citation
- JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, v.57, no.2, pp.195 - 199
- Indexed
- KCI
- Journal Title
- JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY
- Volume
- 57
- Number
- 2
- Start Page
- 195
- End Page
- 199
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/89614
- DOI
- 10.3341/jkos.2016.57.2.195
- ISSN
- 0378-6471
- Abstract
- Purpose: To analyze the improvement of symptoms and signs of dry eye after surgical punctual occlusion and to evaluate the effects of secondary systemic disease in dry eye patients. Methods: From March 2011 to July 2014, 15 eyes of 8 dry eye patients with a history of punctal plug insertion underwent surgical punctal occlusion. Schirmer test was measured based on mean 2.9 mm. The patients consisted of 4 dry eye patients with Sjogren's disease, 1 with rheumatoid arthritis, 1 with graft-versus-host disease (GVHD), and 2 with no secondary systemic disease. Preoperative and postoperative ophthalmic examinations of log MAR visual acuity, subjective symptoms, corneal staining (National Eye Institute [NEI] score), and tear break-up time (BUT) were performed and the effects of secondary systemic disease in dry eye patients were evaluated. The results of surgical punctual occlusion were analyzed. Results: All patients showed a statistically significant improvement of log MAR visual acuity, subjective symptoms, corneal staining (NEI score), and tear BUT. The patients with rheumatoid-related diseases showed improved symptoms after surgery, but the patient with GVHD showed no significant improvement after surgery. Among the study patients, 80.0% showed completely closed punctum and 20.0% showed partial recanalization. Conclusions: Surgical punctal occlusion is an effective alternative in patients with severe aqueous deficient dry eye who show recurrent punctal plug loss or complications associated with punctal plugs.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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