Etiology of tearing in patients seen in an oculoplastic clinic in Saudi Arabia

Bukhari, Amal

doi:10.4103/0974-9233.114790

Cited by 22 publications

(23 citation statements)

References 6 publications

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“…Similarly, in another study, it was reported that 54.6% of the patients had complaints for ≤6 months, and 15.7% of them had it for ≥1 year. It was also observed that the group with the complaint of nasolacrimal duct obstruction had it for a longer period [7]. In our study, 49.7% (81/163) of the patients reported that they had complaints from 1 month to 1 year, 41.1% (67/163) of them had complaints between 1 and 5 years, and 4.3% (7/163) of them had complaints for ≥5 years.…”

Section: Discussionsupporting

confidence: 63%

“…Dry eye and/or chronic blepharitis may affect the corneal and conjunctival neurosensorial receptors and cause reflex hypersecretion of the lacrimal gland [18]. Although rates of 22–29.2% were found in some studies of oculoplastic clinics, increased rate of 40% was also observed in other studies [2, 5–7]. The researchers concluded that, with these high rates, the assumption that epiphora was synonymous of lacrimal system obstruction was dispelled [2].…”

Section: Discussionmentioning

confidence: 99%

“…Conjunctivochalasis is an interesting condition that causes epiphora by mechanically displacing the normal tear meniscus and impeding the flow along the eyelid margin toward the punctum [15]. These rare causes varied between 0.7% and 5.1% in other studies [2, 7]. …”

Section: Discussionmentioning

confidence: 99%

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How Important Is the Etiology in the Treatment of Epiphora?

Ulusoy

Kıvanç

Atakan

et al. 2016

Journal of Ophthalmology

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Purpose. There are several etiological factors that cause epiphora, and treatment differs according to the cause. We aimed to evaluate the etiology of epiphora and the treatment modalities of the affected patients. Materials and Methods. Data of patients who were referred to ophthalmology clinics for epiphora were retrospectively analyzed. All patients were evaluated for epiphora etiology, treatment modalities, and duration of complaints, after complete ophthalmologic examination. Results. This study consisted of 163 patients with a mean age of 64.61 ± 16.52 years (range 1–92 years). Lacrimal system disease (48.4% [79/163]) was the most common cause, followed by ocular surface disease (dry eye/blepharitis) (38.7% [63/163]). Among the patients included in this study, 69% (113/163) did not receive any treatment, whereas only 1.8% (3/163) were treated surgically. About 4.3% of the patients (7/163) had a complaint for more than 5 years (p = 0.012) and six of these had chronic dacryocystitis and one had ectropion. Conclusion. Epiphora not only has a negative impact on patients' comfort, but also puts them at risk for probable intraocular operations in the future. Therefore, the wide range of its etiology must be taken into consideration and adequate etiology-specific treatment options must be applied.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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How Important Is the Etiology in the Treatment of Epiphora?

Ulusoy

Kıvanç

Atakan

et al. 2016

Journal of Ophthalmology

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“…However their study covered seven years period and involved all minor procedures like incision and curettage which were excluded in this study 1 . Many other studies reported the incidence of various individual procedures 2,[5][6][7] . The low incidence could be because of the young age of the oculoplastic subspecialty with limited available facilities.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Ophthalmic Plastic Procedures in a Tertiary Centre

Omotoye

Ajayi

Kumolalo

2017

Journal of Health Science Research

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Orbito-oculoplastics diseases and deformities tend to impact negatively on the psycho-social, economic as well as the educational achievement of affected persons. Ophthalmic plastic procedures are performed to improve the appearance and function of the eyelids and face of the affected person. Purpose: To determine the prevalence and indications of oculoplastic procedures in oculopastic subspecialty in order to provide data base for management of ophthalmic plastic conditions in our centre. Method: The clinic and theatre records of all patients that had oculoplastic procedures done from January 2015 -July 2017 were retrieved to obtain demographic characteristics, duration of symptoms, presenting visual acuity and oculoplastic procedures and histo-pathological diagnosis from the records. Results: One hundred and eighty (180) patients had oculo-plastic surgery. This constituted (12.1%) of all surgeries done in this centre. There were 95(52.8%) males and 85 (48.2%) females with a male to female ratio of 1.1:1. Conjunctival disorders 106(58.9%) were the most frequent with two third occurring at 40 years and above. This was followed by disorders arising from trauma with greater than 2/3 occurring at younger age group. Most of the ophthalmic cosmetic procedures were performed in the elderly females while the destructive procedures resulting from trauma were performed in the young males. Conclusion: The incidence of ophthalmic plastic procedure was low. There is need fortraining of more staff with adequate and relevant skill in more advance cosmetic oculoplastic surgery and provision of up to date equipments required for various procedures in order to improve the practice of this subspecialty in this centre.

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“…In addition to social embarrassment, tearing can affect the quality of a patient's life as it may interfere with daily activities, especially reading and driving. [1] Although various pathologies can present as tearing most of the ophthalmologists take the nasolacrimal abnormalities into the consideration firstly. There is a controversy between dryness and tearing, but it is wellknown that there may be an annoying reflex tearing in dry eye patients.…”

Section: Introductionmentioning

confidence: 99%

The importance of Schirmer test in the elderly patients with epiphora

Recep

2018

Ortadogu Tıp Derg

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Aim: To determine the importance of Schirmer test in elderly patients with epiphora. Material and Method: A prospective study on the consecutive patients whose ages are 50 or more with a chief complaint of tearing. The cause of tearing was determined on the basis of the clinical examination including slit lamp examination, Schirmer test, dye disappearance test and irrigation test. The patients having eyelid and conjunctival abnormalities other than pinguecula and pterygium were not recruited in the study. Results: This study included 132 patients with a mean age of 68.7 years. Nasolacrimal system abnormalities were detected in 16 eyes (6.1%). The number of eyes with a Schirmer value of 9 mm or lower was 95 (36.0%). The study population was divided into two groups in respect to the mean age. The patients under the mean age formed group 1 and the elderly patients formed group 2. The statistical analyses were performed between two groups and between two sexes. The only significant difference was detected in the comparison of the groups in respect to Schirmer test results (p<0.01). Lower Schirmer test results were obtained in the group 2 including the patients over the age of 68 years. Conclusion: Epiphora in a normally appearing eye of an elderly patient should first bring the dry eye into mind. So the testing for the dry eye is more important than the dye disappearance test and the irrigation test in patients with a complaint of tearing.

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Etiology of tearing in patients seen in an oculoplastic clinic in Saudi Arabia

Cited by 22 publications

References 6 publications

How Important Is the Etiology in the Treatment of Epiphora?

How Important Is the Etiology in the Treatment of Epiphora?

Analysis of Ophthalmic Plastic Procedures in a Tertiary Centre

The importance of Schirmer test in the elderly patients with epiphora

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