J Korean Ophthalmol Soc > Volume 57(2); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(2):195-199.
DOI: https://doi.org/10.3341/jkos.2016.57.2.195    Published online February 1, 2016.
The Effects of Surgical Punctual Occlusion on Patients with Aqueous Deficient Dry Eye.
So Min Ahn, Young Sub Eom, Jay Won Rhim, Su Yeon Kang, Hyo Myung Kim, Jong Suk Song
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr
수성 눈물 부족 건성안 환자에서 수술적 눈물점 폐쇄의 효과 평가
안소민⋅엄영섭⋅임재원⋅강수연⋅김효명⋅송종석
고려대학교 의과대학 안과학교실
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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