The treatment of severe trachomatous dry eye with canalicular silicone plugs

Güzey, Mustafa; Özardalı, İlyas; Kılıç, Adil; Başar, Emel; Doğan, Zeki; Satici, Ahmet; Karadede, Sezin

doi:10.1038/eye.2001.98

Cited by 33 publications

(15 citation statements)

References 15 publications

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“…Alguns autores (10,11) concluíram que as oclusões de ponto lacrimal com plugs em casos de olho seco aumentam o componente aquoso da lágrima e diminuem a osmolaridade, melhorando a estabilidade do filme lacrimal e as colorações com rosa bengala e fluoresceína.…”

Section: Discussionunclassified

“…Neste estudo observamos uma melhora no teste de Schirmer de 17,32 mm para 25 mm, assim como uma diminuição na coloração por rosa bengala de 6,87 para 2,12 pontos e no teste de fluoresceína de 4,5 para 1 ponto, o que corrobora com a literatura (7,10,11,18,24) . Porém, os valores do BUT lacrimal foram praticamente os mesmos, discordando com alguns autores (18,(25)(26) .…”

Section: Discussionunclassified

“…O implante de plug no ponto lacrimal é um tratamento intermediário entre a opção clínica e o procedimento cirúrgico e tem sido demonstrado como um tratamento reversível efetivo para a Síndrome do Olho Seco (7)(8)(9)(10)(11) .…”

Section: Introductionunclassified

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Implante de plug lacrimal termosensível para tratamento da síndrome da disfunção lacrimal

Silvério¹,

Ferreira²,

Paulino³

et al. 2010

Rev. bras.oftalmol.

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RESUMOObjetivo: Avaliar os resultados da oclusão de ponto lacrimal reversível com o uso de plugs termosensíveis para o tratamento da síndrome da disfunção lacrimal. Métodos: Dezoito olhos de 9 pacientes com diagnóstico de olho seco foram selecionados e submetidos à oclusão reversível de ponto lacrimal com o uso de plugs termosensíveis, e acompanhados por 60 dias através de questionário OSDI e testes com fluoresceína, rosa bengala e Schirmer. Resultados: Em todos os pacientes estudados houve melhora nos sintomas de olho seco e melhora nos parâmetros oftalmológicos pesquisados. Em apenas 1 dos pacientes a melhora dos sintomas foi pequena, e não houve diminuição na dependência de colírio lubrificante. Nos outros 8 pacientes houve diminuição no uso de colírio. Durante o estudo não ocorreram complicações infecciosas ou de extrusão. Conclusão: Oclusão temporária do ponto lacrimal com SmartPlug tm parece ser uma opção efetiva para o tratamento da síndrome da disfunção lacrimal quando o uso de lubrificantes não é suficiente. Sua colocação é relativamente simples e segura, porém estudos mais longos são necessários.

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Section: Discussionunclassified

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Implante de plug lacrimal termosensível para tratamento da síndrome da disfunção lacrimal

Silvério¹,

Ferreira²,

Paulino³

et al. 2010

Rev. bras.oftalmol.

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“…Seven symptoms (visual changes, burning, foreign body sensation, light sensitivity, visual changes, and eye irritation in the morning or towards the night) were graded according a 4-level ordinal scale (0 = never, 1 = mild, 2 = moderate, 3 = severe). Based on the sum of the scores, subjects were classified as having no (0-2), mild (3-7), moderate (8)(9)(10)(11)(12)(13)(14) and intense (15-21) symptoms of dry eye.…”

Section: Methodsmentioning

confidence: 99%

Upper eyelid entropion and dry eye in cicatricial trachoma without trichiasis

Lucena¹,

Akaishi²,

Rodrigues³

et al. 2012

Arq. Bras. Oftalmol.

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Purpose: to evaluate the position of the upper eyelid margin and eye surface sta tus in cicatricial trachoma without trichiasis (TS). Methods: Slit-lamp biomicroscopy was employed to evaluate the location of the upper lid mucocutaneous transition of 156 eyes of 78 patients with trichiasis and of 130 eyes of 65 control subjects. For each eye the position of the upper lid mucocutaneous junction was graded with respect to the line of meibomian gland orifices into 3 categories: a) anterior, b) at the line, and c) posterior to the line. Ocular surface dye staining with lissamine green was performed in all eyes. All participants answered a questionnaire with queries on the presence and intensity of dry eye symptoms. Results: In the eyes with trichiasis the location of the mucocutaneous transition was posterior to the meibomian gland line in 55 (35.3%), at the line in 77 (49.4%) and anterior to the line in only 24 (15.4%). In the control group these figures were: 5 (3.8%); 42 (42%) and 83 (63.8%). Lissamine staining and dry eye symptoms were also associated with trichiasis. Conclusion: Different degrees of upper lid entropion are already present in cicatricial trachoma even in the absence of trichiasis. Trichiasis is associated with lissamine green staining and dry eye symptoms. Conjunctivalization of the upper lid margin may play a role in the development of trachomatous dry eye. Keywords

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“…Tranenwegokklusive werden erfolgreich in der Behandlung ausgepragter Benetzungsstorungen eingesetzt [4,14,22]. Der dauerhafte Verschluss der ableitenden Tranenwege kann die Symptome des trockenen Auges oder den haufigen Gebrauch substituierender Augentropfen and -gele reduzieren [22].…”

Section: Introductionunclassified

Möglichkeiten der Hochfrequenzsonographie bei der Darstellung intrakanalikulärer Tränenwegokklusive

Tost

Hiti

Clemens

2004

Spektrum Augenheilkd

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Zusammenfassung.Hintergrund: Die Hochfrequenzultraschallechographie mit B-Bild-Sonden zwischen 20 and 50 MHz ist eine etablierte Methode zur Beurteilung des vorderen Augensegments. Bislang befassten sich jedoch nur wenige Untersuchungen mit der echographischen bildgebenden Darstellung des ableitenden Tranenwegsystems. Wir untersuchten die proximalen Abschnitte der ableitenden Tranenwege mit einer hochfrequenten 20-MHz-Ultraschallsonde, um die Moglichkeiten bei der Identifizierung and bildgebenden Darstellung intrakanalikularer Tranenwegokklusive beurteilen zu konnen. Bislang stand kein geeignetes bildgebendes Verfahren zur Darstellung intrakanalikularer Tranenwegokklusive nach deren Platzierung im Kanalikulus zur Verfiigung.Methode: Es wurde bei 20 Patienten der proximale Abschnitt der ableitenden Tranenwege mit der Hochfrequenzsonographie untersucht. Bei alien Probanden waren auf Grund ausgepragter Benetzungsstorungen intrakanalikulare Tranenwegokklusive implantiert worden. Fur die bildgebende Darstellung der intrakanalikularen Implantate wurde ein 20-MHz-Sektorscanner am Ultraschalldiagnostikgerat I3 eingesetzt. Die Ultraschalluntersuchung erfolgte 1 bis maximal 24 Monate nach der Platzierung der intrakanalikularen Okklusive im Tranenkanal.Ergebnisse: Die in den proximalen Tranenwegen platzierten intrakanalikularen Okklusive konnten bei alien untersuchten Patienten mit der Hochfrequenzsonographie bildgebend erfasst werden. Verschiedene Tranenwegokklusive konnen auch intrakanalikular sonografisch an Hand ihrer Grol3e, Form and des Materials unterschieden werden. Intrakanalikulare Tranenwegimplantate aus Silikon sind erkennbar an Hand des starken Grenzflachenechos and der gleichzeitig hohen Binnenreflektivitat. Im Gegensatz hierzu unterscheiden sich Acrylimplantate durch eine niedrige Binnenreflektivitat, das schmale hohe Grenzflachenecho and ein anderes Formverhalten.Schlussfolgerungen: Die Hochfrequenzsonographie, namentlich mit dem einfach handhabbaren 20-MHz-Sektorscanner, kann sehr hilfreich sein intrakanalikulare Tranenwegokklusive nachzuweisen. Wenn anamnestische Angaben, klinische Daten oder biomikroskopische Befunde fehlen, bzw. nicht zu erheben sind, sollten Tranenwegokklusive mit dem 20-MHz-Ultraschall lokalisiert oder deren Nichtvorhandensein sonografisch nachgewiesen werden bevor die erneute Implantation erwogen wird.Schlusselworter: Ultraschall, Tranenwege, Hochfrequenzsonographie, Implantate. Imaging of lacrimal plugs by using high frequency ultrasound Summary. Background: The usage of high frequency B-scan ultrasound has been approved as an appropriate method in the presentation of anterior segment diseases. Until now only few studies used sonography to demonstrate the lacrimal drainage system. In application of high frequency 20-MHzultrasound we examined the proximal lacrimal drainage system in order to identify the location of intracanalicular lacrimal plugs.Materials and methods: In 20 patients the proximal part of the lacrimal drainage system has been examined by high resolution ultrasound. Al...

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The treatment of severe trachomatous dry eye with canalicular silicone plugs

Cited by 33 publications

References 15 publications

Implante de plug lacrimal termosensível para tratamento da síndrome da disfunção lacrimal

Implante de plug lacrimal termosensível para tratamento da síndrome da disfunção lacrimal

Upper eyelid entropion and dry eye in cicatricial trachoma without trichiasis

Möglichkeiten der Hochfrequenzsonographie bei der Darstellung intrakanalikulärer Tränenwegokklusive

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