Exérese do segmento vertical do canalículo lacrimal na síndrome do olho seco: estudo preliminar

Forno, Eliana Aparecida; Buzalaf, Flávio

doi:10.1590/s0004-27492005000200009

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…trata-se de uma técnica efetiva e simples que não acarreta complicações para o acometido. 35 também pode ser feito o uso criterioso de glicocorticoides, aiNes e imunossupressores. o paciente deve evitar ambientes com vento e com pouca umidade, o fumo e as drogas com efeito anticolinérgico.…”

Section: Critérios Diagnósticosunclassified

Síndrome de Sjögren e a Prática da Odontologia: Revisão do Conhecimento Atual

Nascimento¹,

Aguiar²,

Costa³

et al. 2013

Revista da Faculdade de Odontologia de Lins

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Section: Critérios Diagnósticosunclassified

Síndrome de Sjögren e a Prática da Odontologia: Revisão do Conhecimento Atual

Nascimento¹,

Aguiar²,

Costa³

et al. 2013

Revista da Faculdade de Odontologia de Lins

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A new surgical approach for punctal occlusion using fibrous tissue from under the lacrimal caruncle

Yokoi

Komuro

Sotozono

et al. 2018

OPTH

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PurposeSurgical punctal occlusion is indispensable for the treatment of severe dry eye in cases where punctal-plug insertion is not applicable due to an enlarged or deformed punctum. However, permanent punctal occlusion is difficult in some cases. In our aim to establish a more reliable punctal occlusion, we have devised a new surgical approach for punctal occlusion.Patients and methodsThis study involved 20 puncta of 12 eyes of 12 patients (1 male and 11 females; mean age: 65.2 years) with severe aqueous-tear-deficient dry eye. A new surgical procedure for punctal occlusion using fibrous tissue from under the lacrimal caruncle into the diathermy-induced deepithelialized canaliculus as supporting tissue for punctal closure was performed. In all patients, the assessment of eye symptoms, as well as the condition of punctal occlusion by slit-lamp biomicroscopy, tear volume (tear-meniscus radius [TMR] measurement by meniscometry), the condition of precorneal tear film (graded by interferometry [IG]), measurement of fluorescein breakup time (FBUT), and scoring of ocular surface staining (fluorescein score of area [FSA] and density [FSD], and lissamine green score [LGS]) were performed, and the preoperative and 6-month-postoperative values were compared.ResultsIn regard to the postoperative improvement of symptoms, 11 patients showed remarkable improvement, 1 patient showed improvement, and no reopening of the closed punctum was found in any patient. Test values were all significantly improved post surgery (all: P<0.05) as compared to those prior to surgery (respective values [mean ± SD], and the pre- and postoperative P-values were: TMR (mm) [0.18±0.08; 0.56±0.28, P=0.002], IG [4.3±0.9; 2.7±0.8, P=0.009], FBUT [0.4±0.6; 4.1±2.9, P=0.004], FSA [1.6±0.7; 0.7±0.9, P=0.03], FSD [2.7±0.7; 0.6±0.7, P=0.003], and LGS [5.1±2.7; 1.1±2.1, P=0.005]). Moreover, no postoperative complications were observed.ConclusionThe findings of this study showed that our novel surgical procedure for punctal occlusion is highly successful and that it results in improved and more complete punctal occlusion.

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Exérese do segmento vertical do canalículo lacrimal na síndrome do olho seco: estudo preliminar

Abstract: This technique is simple and effective in permanent lacrimal canaliculus occlusion. We did not note any complications compared to other procedures.

Cited by 2 publications

References 16 publications

Síndrome de Sjögren e a Prática da Odontologia: Revisão do Conhecimento Atual

Síndrome de Sjögren e a Prática da Odontologia: Revisão do Conhecimento Atual

A new surgical approach for punctal occlusion using fibrous tissue from under the lacrimal caruncle

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