The Effects of Lower Lid Laxity to the Response of Dry Eye Treatments.

Han, Jae Wook; Yim, Hye Bin; Lee, Na Young

doi:2014.55.9.1307

J Korean Ophthalmol Soc > Volume 55(9); 2014 > Article

Original Article

Journal of the Korean Ophthalmological Society 2014;55(9):1307-1312.
DOI: https://doi.org/10.3341/jkos.2014.55.9.1307 Published online September 15, 2014.

The Effects of Lower Lid Laxity to the Response of Dry Eye Treatments.

Jae Wook Han, Hye Bin Yim, Na Young Lee

Department of Ophthalmology, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. nyny5555@naver.com

하안검 이완이 건성안 치료에 미치는 영향

한재욱⋅임혜빈⋅이나영

Department of Ophthalmology, Incheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea

Abstract

PURPOSE
To compare the response of dry eye treatment in patients divided by the degree of lower lid laxity. METHODS: Thirty patients were classified into three groups - normal, moderate and severe, according to the degree of lower lid laxity. Tear break-up time (TBUT), Schirmer test (ST), ocular surface disease index (OSDI) scores and changes in OSDI score in each group were compared before and at 3 months after the treatment. RESULTS: TBUT, ST and OSDI scores were not different among the three groups at baseline. TBUT improved to 6.60 +/- 1.43, 6.0 +/- 2.54 and 6.0 +/- 1.45 sec in normal, moderate and severe lower lid laxity group, respectively at 3 months after the treatment and no difference among the groups was found. ST scores did not increase after the treatment, while OSDI scores improved to 12.20 +/- 1.40, 16.10 +/- 4.63 and 20.80 +/- 4.52 in each group, respectively and they were significantly different (p = 0.029, 0.029, <0.001, respectively). The response to the dry eye treatment as assessed by changes in OSDI scores was poorer in patients in the severe lower lid laxity group (p = 0.019 vs. moderate laxity group, <0.01 vs. normal group). CONCLUSIONS: As the degree of lower lid laxity increases, the response to dry eye treatment becomes poorer even when TBUT increases.

Key Words: Dry eye;Lower lid laxity;OSDI;Schirmer test;Snap-back test