Treatment of Epiphora in Patients with Conjunctivochalasis Using Conjunctival Fixation to the Sclera.
10.3341/jkos.2012.53.8.1063
- Author:
Seung Hoon OH
1
;
Jae Young PARK
;
Hye Bin YIM
;
Na Young LEE
Author Information
1. Department of Ophthalmology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. Ny55@freechal.com
- Publication Type:Original Article
- Keywords:
Conjunctivochalasis;
Epiphora;
Scleral fixation suture
- MeSH:
Anesthesia;
Conjunctiva;
Eye;
Fluorescein;
Humans;
Lacrimal Apparatus Diseases;
Polyglactin 910;
Postoperative Complications;
Retinal Hemorrhage;
Sclera
- From:Journal of the Korean Ophthalmological Society
2012;53(8):1063-1067
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
