Treatment of Epiphora in Patients with Conjunctivochalasis Using Conjunctival Fixation to the Sclera
Journal of the Korean Ophthalmological Society
; : 1063-1067, 2012.
Article
in Ko
| WPRIM
| ID: wpr-187508
Responsible library:
WPRO
ABSTRACT
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Polyglactin 910
/
Postoperative Complications
/
Sclera
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Retinal Hemorrhage
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Conjunctiva
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Fluorescein
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Eye
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Anesthesia
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Lacrimal Apparatus Diseases
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2012
Type:
Article