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Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension.

Fujimoto M, Ogino K, Miyazaki C, Hirose M, Matsuyama H, Moritera T, Yoshimura N - Clin Ophthalmol (2014)

Bottom Line: The patients' postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults.The reduced tear meniscus area after DCR reflected the success of the surgical procedure.However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.

ABSTRACT

Purpose: To evaluate the surgical outcome of dacryocystorhinostomy (DCR) by measuring the tear meniscus, using optical coherence tomography and rebamipide ophthalmic suspension.

Methods: Patients with nasolacrimal obstruction and chronic dacryocystitis who were scheduled for an endonasal DCR underwent tear meniscus examinations before and 2 months after surgery. Vertical scans of the inferior menisci were performed before and at 1, 3, 5, 7, and 10 minutes after the instillation of rebamipide ophthalmic suspension. The tear menisci areas were measured with imaging software. Ten young adults without epiphora formed the control group.

Results: Anatomical success was achieved on 22 sides of 21 patients. The patients' postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults. Nevertheless, the postoperative meniscus area tended to be larger than that of the young adults at all points.

Conclusion: The reduced tear meniscus area after DCR reflected the success of the surgical procedure. However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR.

No MeSH data available.


Related in: MedlinePlus

Changes in the tear meniscus area before the operation (open square), after the operation (closed square), and in healthy volunteers (triangle).
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f2-opth-8-1441: Changes in the tear meniscus area before the operation (open square), after the operation (closed square), and in healthy volunteers (triangle).

Mentions: Twenty-two eyes of 21 patients with dacryocystitis secondary to nasolacrimal duct obstruction (mean age, 71.4±6.6 years; six men and 15 women) were examined in this study. Surgical procedures were performed without any complications, and anatomical success was confirmed in all cases by performing a syringing test and an endonasal examination at the follow-up visit 2 months after surgery. The epiphora and discharge symptoms improved in all patients after DCR. The tear menisci are well depicted in Figure 1, particularly after rebamipide instillation, and the measurements are shown in Figure 2 and Table 1.


Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension.

Fujimoto M, Ogino K, Miyazaki C, Hirose M, Matsuyama H, Moritera T, Yoshimura N - Clin Ophthalmol (2014)

Changes in the tear meniscus area before the operation (open square), after the operation (closed square), and in healthy volunteers (triangle).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4128840&req=5

f2-opth-8-1441: Changes in the tear meniscus area before the operation (open square), after the operation (closed square), and in healthy volunteers (triangle).
Mentions: Twenty-two eyes of 21 patients with dacryocystitis secondary to nasolacrimal duct obstruction (mean age, 71.4±6.6 years; six men and 15 women) were examined in this study. Surgical procedures were performed without any complications, and anatomical success was confirmed in all cases by performing a syringing test and an endonasal examination at the follow-up visit 2 months after surgery. The epiphora and discharge symptoms improved in all patients after DCR. The tear menisci are well depicted in Figure 1, particularly after rebamipide instillation, and the measurements are shown in Figure 2 and Table 1.

Bottom Line: The patients' postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults.The reduced tear meniscus area after DCR reflected the success of the surgical procedure.However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.

ABSTRACT

Purpose: To evaluate the surgical outcome of dacryocystorhinostomy (DCR) by measuring the tear meniscus, using optical coherence tomography and rebamipide ophthalmic suspension.

Methods: Patients with nasolacrimal obstruction and chronic dacryocystitis who were scheduled for an endonasal DCR underwent tear meniscus examinations before and 2 months after surgery. Vertical scans of the inferior menisci were performed before and at 1, 3, 5, 7, and 10 minutes after the instillation of rebamipide ophthalmic suspension. The tear menisci areas were measured with imaging software. Ten young adults without epiphora formed the control group.

Results: Anatomical success was achieved on 22 sides of 21 patients. The patients' postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults. Nevertheless, the postoperative meniscus area tended to be larger than that of the young adults at all points.

Conclusion: The reduced tear meniscus area after DCR reflected the success of the surgical procedure. However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR.

No MeSH data available.


Related in: MedlinePlus