수성 눈물 부족 건성안 환자에서 수술적 눈물점 폐쇄의 효과 평가

• 영문명: The Effects of Surgical Punctual Occlusion on Patients with Aqueous Deficient Dry Eye
• 발행기관: 대한안과학회
• 저자명: 안소민(So Min Ahn) 엄영섭(Young Sub Eom) 임재원(Jay Won Rhim) 강수연(Su Yeon Kang) 김효명(Hyo Myung Kim) 송종석(Jong Suk Song)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume57,number2, 195~199쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2016.02.29

영문 초록

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.

키워드

Corneal staining Dry eye Punctal occlusion Sjö gren syndrome