| The Effects of Surgical Punctual Occlusion on Patients with Aqueous Deficient Dry Eye. |
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So Min Ahn, Young Sub Eom, Jay Won Rhim, Su Yeon Kang, Hyo Myung Kim, Jong Suk Song |
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Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr |
| 수성 눈물 부족 건성안 환자에서 수술적 눈물점 폐쇄의 효과 평가 |
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안소민⋅엄영섭⋅임재원⋅강수연⋅김효명⋅송종석 |
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고려대학교 의과대학 안과학교실 |
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| 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. |
| Key Words:
Corneal staining;Dry eye;Punctal occlusion;Sjogren syndrome |
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