Two-year outcome of partial lacrimal punctal occlusion in the management of dry eye related to Sjögren syndrome.

作者: Ricardo Holzchuh , Marcos Bottene Villa Albers , Tammy Hentona Osaki , Thais Zamudio Igami , Ruth Miyuki Santo

DOI: 10.3109/02713683.2011.569870

关键词: OphthalmologyKERATOCONJUNCTIVITIS SICCASurgeryEyelidLacrimal punctumSjögren syndromeMedicineTearsPartial occlusionRose bengalPunctal occlusion

摘要: Purpose: To analyze the influence of thermal partial punctal occlusion on ocular surface dry eye related to Sjogren syndrome.Material and Methods: Thirty-seven eyes 19 patients (3 male 16 female; 49.11 ± 14.33 years old) with keratoconjunctivitis sicca were enrolled in this study. Superior inferior performed both under topical anesthesia using cautery a sterile tip obtain lacrimal punctum smaller than 0.5 mm. Schirmer I, break-up-time, diameter puncta, corneal fluorescein, rose Bengal staining scores analyzed before after 24 weeks months procedure. All measurements controlled climate.Results: The average procedure was 0.65 ± 0.134 mm. puncta successfully reduced less 0.5 mm 4 I test values improved statistically maintained stable months....

参考文章(38)
Michael A. Lemp, Dry eye syndromes: treatment and clinical trials. Advances in Experimental Medicine and Biology. ,vol. 350, pp. 553- 559 ,(1994) , 10.1007/978-1-4615-2417-5_94
Rebecca M. Willis, Robert Folberg, Jay H. Krachmer, Edward J. Holland, The treatment of aqueous-deficient dry eye with removable punctal plugs. A clinical and impression-cytologic study. Ophthalmology. ,vol. 94, pp. 514- 518 ,(1987) , 10.1016/S0161-6420(87)33417-7
Horst Brewitt, Firouzeh Sistani, Dry eye disease: the scale of the problem. Survey of Ophthalmology. ,vol. 45, ,(2001) , 10.1016/S0039-6257(00)00202-2
M A Lemp, Evaluation and differential diagnosis of keratoconjunctivitis sicca. The Journal of Rheumatology Supplement. ,vol. 61, pp. 11- 14 ,(2000)
Shigeto Shimmura, Jun Shimazaki, Kazuo Tsubota, Results of a population-based questionnaire on the symptoms and lifestyles associated with dry eye. Cornea. ,vol. 18, pp. 408- 411 ,(1999) , 10.1097/00003226-199907000-00003
Ming-Cheng Tai, C. Banu Cosar, Elisabeth J. Cohen, Christopher J. Rapuano, Peter R. Laibson, The clinical efficacy of silicone punctal plug therapy. Cornea. ,vol. 21, pp. 135- 139 ,(2002) , 10.1097/00003226-200203000-00001
Michael A. Lemp, Management of the Dry-Eye Patient International Ophthalmology Clinics. ,vol. 34, pp. 101- 113 ,(1994) , 10.1097/00004397-199403410-00010
Akiko Sakamoto, Hiroshi Sasaki, Kazuko Kitagawa, Successful treatment of diabetic keratopathy with punctal occlusion Acta Ophthalmologica Scandinavica. ,vol. 82, pp. 115- 117 ,(2004) , 10.1111/J.1395-3907.2004.0189H.X
Stephen C. Pflugfelder, David Jones, Zhonghua Ji, Adolfo Afonso, Dagoberto Monroy, Altered cytokine balance in the tear fluid and conjunctiva of patients with Sjögren's syndrome keratoconjunctivitis sicca Current Eye Research. ,vol. 19, pp. 201- 211 ,(1999) , 10.1076/CEYR.19.3.201.5309
K. Tsubota, E. Goto, H. Fujita, M. Ono, H. Inoue, I. Saito, S. Shimmura, Treatment of dry eye by autologous serum application in Sjögren's syndrome British Journal of Ophthalmology. ,vol. 83, pp. 390- 395 ,(1999) , 10.1136/BJO.83.4.390