Kuru Göz Hastalarında Eriyebilen Kanaliküler Tıkaçlar ile Kanalikül Oklüzyonu

Amaç: Kuru göz sebebi ile eriyebilen kanalikül tıkacı uygulanan hastaların klinik özelliklerini ve tedavi sonuçlarını değerlendirmek. Gereç ve Yöntem: Mart 2014- Aralık 2017 tarihleri arasında, kuru göz sebebi ile eriyebilen kanaliküler tıkaç Oasys Soft Plug Extended Duration,Glendora, ABD kullanılarak kanalikül oklüzyonu yapılan 20 hastanın verileri geriye dönük olarak incelendi. Göz kuruluğu Oküler Yüzey Hastalık İndeksi OSDI subjektif sorgulama skoru ile değerlendirildi. Eriyebilen tıkaç kanaliküle biyomikroskop altında yerleştirildi. Bulgular: Otuz yedi gözün 49 kanalikülü 37 alt, 12 üst , eriyebilen kanaliküler tıkaç kullanılarak kapatıldı. Tıkama işleminden sonra kuru göz semptomlarının tekrar başladığı süreler kaydedilerek gereken hastalarda kanaliküler tıkaç yenilendi. Tıkaç yerleştirilmesi sonrasında OSDI skorlarında anlamlı düşüş izlendi p

Canalicular Occlusion With Absorbable Canalicular Plugs In Patients With Dry Eye

Objective: To evaluate the clinical characteristics and treatment outcomes of patients who underwent absorbable canalicular plugs with dry eye.Materials and Methods: The medical records of 20 patients who underwent canalicular obstruction using absorbable canalicular plugs Oasis Soft Plug Extended Duration, Glendora, USA between March 2014 and December 2017 were retrospectively reviewed. Dry eye disease was assessed by The Ocular Surface Disease Index OSDI subjective questioning score. Absorbable canalicular plugs were inserted using a biomicroscope.Results: Forty- nine canaliculi 37 lower, 12 upper canaliculi in 37 eyes were occluded using absorbable canalicular plugs. The resumption of the dry eye symptoms after the canalicular obstruction was recorded and the canalicular plug insertion was repeated when necessary. Significant changes were observed in OSDI scores after canalicular occlusion p

Keywords:

Dry eye OSDI,

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Bourkiza R, Lee V. A review of the complications of lacrimal occlusion with punctal and canalicular plugs. Orbit. 2012;31:86-93. [CrossRef]

Mc Carty CA, Bansal AK, Livingston PM, Stanislavsky YL, Taylor HR. The epidemiology of dry eye in Melbourne, Australia. Ophthalmology. 1998:105: 1114-9. [CrossRef]

Lin PY, Tsai SY, Cheng CY, Liu JH, Chou P, Hsu WM. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology. 2003:110: 1096-101. [CrossRef]

Messmer EM. The pathophysiology, diagnosis, and treatment of dry eye disease. Dtsch Arztebl Int. 2015:30;112:71-81. [CrossRef]

Yazici B, Bilge AD, Naqadan F. Lacrimal Punctal Occlusion With Conjunctival Flap.Ophthal Plast Reconstr Surg. 2015;31:300-2. [CrossRef]

Tuberville AW, Frederick WR, Wood TO. Punctal occlusion in tear deficiency syndromes. Ophthalmology 1982;89:1170-2. [CrossRef]

Knapp ME, Frueh BR, Nelson CC, Musch DC. A comparison of two methods of punctal occlusion. Am J Ophthalmology 1989;108:315– 8. [CrossRef]

Dohlman CH. Punctal occlusion in keratoconjunctivitis sicca. Ophthalmology 1978;85:1277–81. [CrossRef]

Murube J, Murube E. Treatment of dry eye by blocking the lacrimal canaliculi. Surv Ophthalmol. 1996;40:463–80. [CrossRef]

Beetham WP. Flamentary keratitis. Trans Am Ophthalmol Soc 1935;33:413-35.

Schiffman RM, Christianson MD, Jacobsen G, Hirsch JD, Reis BL. Reliability and validity of the Ocular Surface Disease Index. Arch Ophthalmol. 2000;118:615-21. [CrossRef]

Foulds WS: Intra-canalicular gelatin implants in the treatment of keratoconjunctivitis sicca. Br J Ophthalmol 1961;45:625-7. [CrossRef]

Freeman JM: The punctum plug:evaluation of a new treatment for the dry eye. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol 1975;79:874-9.

Jehangir N, Bever G, Mahmood SM, Moshirfar M. Comprehensive Review of the Literature on Existing Punctal Plugs for the Management of Dry Eye Disease. J Ophthalmol. 2016;2016:9312340. [CrossRef]

Rumelt S, Remulla H, Rubin PA. Silicone punctal plug migration resulting in dacryocystitis and canaliculitis. Cornea, 1997;16:377–9. [CrossRef]

Sugita J, Yokoi N, Fullwood NJ. The detection of bacteria and bacterial biofilms in punctal plug holes. Cornea, 2001;20;362–5. [CrossRef]

Taban M, Chen B, Perry JD. Update on punctal plugs. Compr Ophthalmol Update. 2006;7:205-12; 213-4.

Herrick RS: A subjective approach to the treatment of dry eye syndrome. Adv Exp Med Biol 1994; 350:571-6. [CrossRef]