이완된 결막의 공막 고정술을 이용한 눈물 흘림의 치료

• 영문명: Treatment of Epiphora in Patients with Conjunctivochalasis Using Conjunctival Fixation to the Sclera
• 발행기관: 대한안과학회
• 저자명: 오승훈 박재영 임혜빈 이나영,Seung Hoon Oh, MD, Jae Young Park, MD, Hye Bin Yim, MD, PhD, Na Young Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number8, 1063~1067쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.08.15

영문 초록

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. J Korean Ophthalmol Soc 2012;53(8):1063-1067

키워드

Conjunctivochalasis, Epiphora, Scleral fixation suture