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  • 标题:Treatment of Epiphora in Patients with Conjunctivochalasis Using Conjunctival Fixation to the Sclera
  • 本地全文:下载
  • 作者:Oh, Seung Hoon ; Park, Jae Young ; Yim, Hye Bin
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2012
  • 卷号:53
  • 期号:8
  • 页码:1063-1067
  • DOI:10.3341/jkos.2012.53.8.1063
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要: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.

  • 关键词:Conjunctivochalasis; Epiphora; Scleral fixation suture
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