Dry Eye Assessment of Patients Undergoing Endoscopic Dacryocystorhinostomy for Nasolacrimal Duct Obstruction Combined with Dry Eye Syndrome.

Q3 Medicine Korean Journal of Ophthalmology : KJO Pub Date : 2023-10-01 Epub Date: 2023-08-25 DOI:10.3341/kjo.2023.0042
Min Han Kim, Kangmin Lee, Minwook Chang
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Abstract

Purpose: To evaluate the prevalence of dry eye symptoms after endoscopic dacryocystorhinostomy (EDCR) for patients with primary acquired nasolacrimal duct obstruction (PANDO) combined with dry eye syndrome.

Methods: The patients diagnosed with PANDO combined with dry eye syndrome who underwent EDCR were divided into two groups according to the questionnaire about dry eye symptoms after surgery. The medical records were retrospectively analyzed. Before and after surgery, we compared the tear meniscus height, tear breakup time, and the presence of corneal punctuate epithelial erosion. The level of dry eyes of patients after surgery was assessed by using the Korean guidelines for the diagnosis of dry eye.

Results: At 6 months after EDCR, the proportion of patients with dry eye symptoms was 30% in a total of 80 patients. The duration of epiphora and tear breakup time after EDCR were higher in the group without dry eye symptoms and the proportion of eyes with corneal punctuate epithelial erosion after EDCR was higher in the group with dry eye symptoms. About 15% of total patients started treatment with a dry eye of level 2 or higher.

Conclusions: About 15% of patients who underwent EDCR for PANDO combined with dry eye syndrome developed significant dry eye syndrome after surgery. The short onset of epiphora was associated with the development of the dry eye symptoms. Therefore, it is necessary to evaluate dry eye syndrome before surgery, and surgeons should be careful about this.

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鼻内镜下泪囊鼻腔造瘘治疗鼻泪管阻塞合并干眼症患者的干眼症评估。
目的:评估原发性获得性鼻泪管阻塞(PANDO)合并干眼综合征患者经内镜泪囊鼻腔造瘘术后干眼症状的发生率。方法:根据术后干眼症症状调查表,将经EDCR诊断为PANDO合并干眼症的患者分为两组。对病历进行回顾性分析。术前和术后,我们比较了泪液半月板高度、泪液破裂时间和角膜点状上皮侵蚀的存在。通过使用韩国干眼症诊断指南来评估患者术后的干眼症水平。结果:在EDCR后6个月,在总共80名患者中,有干眼症症状的患者比例为30%。在没有干眼症症状的组中,EDCR后的泪溢持续时间和撕裂时间更高,在有干眼症的组中EDCR后角膜点状上皮侵蚀的眼睛比例更高。大约15%的患者开始接受2级或更高级别的干眼症治疗。结论:约15%因PANDO合并干眼症接受EDCR的患者在手术后出现明显的干眼症。溢液发作时间短与干眼症症状的发展有关。因此,有必要在手术前对干眼综合征进行评估,外科医生应对此小心。
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来源期刊
Korean Journal of Ophthalmology : KJO
Korean Journal of Ophthalmology : KJO Medicine-Ophthalmology
CiteScore
2.40
自引率
0.00%
发文量
84
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