Tear Film, Lacrimal Drainage System, and Eyelid Findings in Subjects With Anophthalmic Socket Discharge

Kashkouli, Mohsen Bahmani; Zolfaghari, Roya; Es’haghi, Acieh; Amirsardari, Anahita; Abtahi, Mohammad Bagher; Karimi, Nasser; Alemzadeh, Sayyed Amirpooya; Aghamirsalim, Mohamadreza

doi:10.1016/j.ajo.2016.02.016

Cited by 23 publications

(16 citation statements)

References 23 publications

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“…To function, the tear system requires the joint participation of the tear secretion system and the drainage system, and they need to reach a certain state of balance. When one side changes and breaks the balance, the other side will also change in varying degrees [8,9]. The TMH can re ect the amount of tears stored in the conjunctival sac to some extent.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of implanting a lacrimal suppository or other methods of blocking the lacrimal passage in the treatment of xerophthalmia is to completely block the absorption of tears, resulting in the effect of "emptiness" in the lacrimal duct system. This effect is a strong stimulation signal produced by tears at the initial stage, but this stimulation effect weakens with time [8,19]. In normal individuals, there is an automatic balancing mechanism that can restore the secretion and drainage of tears to a equilibrium state in a certain period of time, but this mechanism is missing in some people [20].…”

Section: Discussionmentioning

confidence: 99%

“…The automatic balancing mechanism and feedback regulation of the lacrimal system mostly depend on the cavernous structure of the lacrimal duct, which exists in the lacrimal sac and nasolacrimal duct. To make the lacrimal system function effectively and stably, the lacrimal drainage system needs to maintain a normal structure [3,8]. However, EN-DCR, as a diversion, impairs part of the function of the cavernous body of the nasolacrimal duct.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

Sha¹,

Zheng²,

Zhang³

et al. 2020

Preprint

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BackgroundWe aimed to analys and explore the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy (EN-DCR).MethodsA series of case studies was reviewed. The clinical data of 104 patients (120 eyes) who underwent EN-DCR in our hospital from March 2019 to October 2019 were selected for the study. The tear meniscus height (TMH) and the Schirmer I test (SIt) values were compared preoperatively and 1 month and 3 months postoperatively and statistically analysed by Mauchly's test of sphericity and the Pearson correlation coefficient.ResultsThe TMH decreased across all 3 timepoints, and the differences were statistically significant (P<0.05). The TMH values were measured 3 times in 120 eyes and showed three patterns: increased steadily (34 eyes), descended first and then ascended (32 eyes), and decreased steadily (54 eyes); the changes in the three patterns were statistically significant (P<0.05). There were a significant increases in SIt values among the three timepoints, and the SIt values gradually increased when the SIt values were < 10 mm/5 min preoperatively. However, there was no significant difference in SIt values when the SIt values were ≥ 10 mm/5 min preoperatively. The TMH was highly correlated with the SIt value preoperatively (r = 0.763), moderately correlated at 1 month postoperatively (r = 0.515), and not correlated at 3 months postoperatively (r = 0.097).ConclusionsEN-DCR has a certain degree of influence on the tear system, which is not only reflected in the tear drainage system, but also in the tear secretion system and the interaction between the two systems; however, excess tear drainage, can also alleviate dry eyes.Funding programmeJoint Fund Project of Hubei Provincial Health Select Committee (No. WJ2019H318); General Key Projects of Medical Research in Wuhan City, Hubei Province (No. WX19A03)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

Sha¹,

Zheng²,

Zhang³

et al. 2020

Preprint

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“…After enucleation or evisceration is done, the main goal is to rehabilitate the patient to look normal and live a stress-free life. An ideal ocular prosthesis can be placed 4 to 8 weeks after evisceration or enucleation so that the patient feels comfortable and satisfied cosmetically [ 1 ], [ 2 ], [ 3 ], [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Frequency of Prosthesis Cleaning and the Discharge Characteristics and the Tear Film in Subjects with Anophthalmic Socket after Eviceration with Dermis Fat Graft

Adrian¹,

Lubis²,

Zubaidah³

2018

Open Access Maced J Med Sci

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AIM:To analyze the associations between frequency of prosthesis cleaning with the discharge characteristics and the tear film in subjects with anophthalmic socket post evisceration with dermis fat graft.SUBJECTS AND METHODS:This study is an analytic observational with cross sectional design study with control. The subjects of the study were unilateral acquired anophthalmic socket after evisceration with dermis fat graft at University of Sumatera Utara General Hospital which amounts to 30 subjects or 60 eyes (30 unilateral anophthalmic sockets, 30 contralateral eyes). Data was obtained from April 2018 to May 2018.RESULT:There is significant association between frequency of prosthesis cleaning and the frequency of discharge (P = 0.001) and tear film quantity (P = 0.024). There is also significant association between the tear film quantity and the frequency of discharge (P = 0.024).CONCLUSION:There was a significant association between frequency of prosthesis cleaning with the frequency of discharge and the tear film in subjects with Acquired Unilateral anophthalmic socket post-evisceration with dermis fat graft.

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“…Anophthalmic socket discharege patient questionnaire for the frequency of prosthesis removal and eye discharge characteristics. Modified from Pine et al, 6 with permission from the Dovepress and Kashkouli et al, 5 with permission from the Elsevier.…”

mentioning

confidence: 99%

Prosthesis Care in Long-term Prosthetic Eye Wearers

Kim

2019

J Korean Ophthalmol Soc

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Purpose:To aid in the prosthesis care by comparing anophthalmic eyes with normal eyes in anophthalmic patients wearing prosthetic eyes for more than 1 year. Methods: We retrospectively reviewed the medical records of 40 anophthalmic eyes and 40 normal fellow eyes of 40 patients who wore prosthetic eyes for more than 1 year after unilateral eye removal and orbital implant insertion. We compared data obtained from medical records on sex, age, punctal abnormality, lagophthalmos, eye discharge characteristics, tear meniscus height, upper eyelid palpebral conjunctiva, Meibomian gland dysfunction, Schirmer's test, lacrimal irrigation test, diagnostic probing, period of wearing the prosthetic eye, and frequency of prosthesis removal between anophthalmic eyes wearing a prosthesis and normal eyes. Results: Anophthalmic eyes with lagophthalmos wearing a prosthesis had a higher frequency of eye discharge than eyes without lagophthalmos (p = 0.04). Eyes with frequent prosthesis removal had a higher frequency of eye discharge than eyes with less frequent prosthesis removal (p = 0.04). However, lagophthalmos and prosthesis removal frequency were not associated with tear meniscus height, or the results of Schirmer's test, or the lacrimal irrigation test (0.174 < p < 0.971). Conclusions:The frequency of prosthesis removal and presence of lagophthalmos can affect the discharge of anophthalmic eyes. It is advisable not to remove the prosthesis more than once a month to minimize eye discharge. J Korean Ophthalmol Soc 2019;60(3):217-222

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Tear Film, Lacrimal Drainage System, and Eyelid Findings in Subjects With Anophthalmic Socket Discharge

Cited by 23 publications

References 23 publications

Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

Association between Frequency of Prosthesis Cleaning and the Discharge Characteristics and the Tear Film in Subjects with Anophthalmic Socket after Eviceration with Dermis Fat Graft

Prosthesis Care in Long-term Prosthetic Eye Wearers

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