| Treatment of Epiphora in Patients with Conjunctivochalasis Using Conjunctival Fixation to the Sclera. |
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Seung Hoon Oh, Jae Young Park, Hye Bin Yim, Na Young Lee |
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Department of Ophthalmology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. Ny55@freechal.com |
| 이완된 결막의 공막 고정술을 이용한 눈물 흘림의 치료 |
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오승훈⋅박재영⋅임혜빈⋅이나영 |
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Department of Ophthalmology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea |
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| Abstract |
PURPOSE
To report the effects and complications of conjunctival fixation to the sclera in conjunctivochalasis patients with inferior punctal occlusion. METHODS: The authors of the present study evaluated the degree of conjunctivochalasis and performed Fluorescein Dye Disappearance Test (FDT) in 15 eyes of 8 patients diagnosed with conjunctivochalasis with inferior punctal occlusion. Under topical anesthesia, the inferior bulbar conjunctiva was attached to the sclera with 3 8-0 vicryl stitches 8 mm posterior from the limbus. After surgery, the relief of symptoms, postoperative complications and improvement of conjunctivochalasis were observed. RESULTS: One week after the surgery, all 15 eyes achieved a subjective improvement of symptoms and the degree of conjunctivochalasis and FDT showed statistical difference after surgery (p = 0.000, 0.000, respectively). A complication occurred in 1 eye which was a retinal hemorrhage due to scleral puncture. CONCLUSIONS: Conjunctival fixation to the sclera could improve epiphora in conjunctivochalasis patients with inferior punctal occlusion. However, this procedure should be performed with caution. |
| Key Words:
Conjunctivochalasis;Epiphora;Scleral fixation suture |
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