Journal of the Korean Ophthalmological Society 2003;44(8):1723-1727.
Published online August 1, 2003.
The Relationship between the Dacryoscintigraphy and the Satisfaction with Punctal Occlusion in Patients with Dry Eye Syndrome.
Soh Hyang Chung, Yong Joo Lee, Hye Young Kim, Sang Yeul Lee
1The Institute of Vision Research, Department of Opthalmology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, National Health Insurance Corporation Ilsan Hospital, Kyunggi-do, Korea. hykim@nhimc.or.kr
건성안 환자에서 누도신티그라피 소견과 누점폐쇄 후 만족도와의 상관관계
정소향 ( Jeong So Hyang ) , 이용주 ( Lee Yong Ju ) , 김혜영 ( Kim Hye Yeong ) , 이상렬 ( Lee Sang Lyeol )
Abstract
PURPOSE
The purpose of this study was to assess the relationship between the result of dacryoscintigraphy and the effect of punctal occlusion in dry eye syndrome. METHODS: Dacryoscintigraphy was performed in 86 eyes with dry eye syndrome and collagen plugs were inserted into low punctum. We evaluated the relationship between the results of dacryoscintigraphy and the effect of punctal occlusion with collagen plugs. RESULTS: In 36 eyes, tear transit time was normal in dacryoscintigraphy (Group I). In 28 eyes, tear transit time was more than 20 minutes (Group II). In 18 eyes, no tear transit was seen during 60 minutes and after dripping of normal saline, tear transit was seen (Group III). In 4 eyes, there was no tear transit after dripping of normal saline (Group IV). Symptom reduction after punctal occlusion with collagen plugs was observed in 34 eyes (94%) of Group I and 22 eyes (79%) of Group II . There was no significant differences between the two groups. In Group III, symptom reduction was observed in 4 eyes (22%) and it showed significant differences between the other groups. CONCLUSIONS: According to this results, punctal occlusion in dry eye syndrome was not effective in patients who showed tear transit after 60 minutes.
Key Words: Dacryoscintigraphy;Punctal occlusion;Tear transit


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