The Effect of Lacrimal Punctum Embolization on Tear Film Quality of the Patients with Dry Eye*

Author:ZHANG Wei-li, WU Cheng-gao, LIAO Su-hua, et al.

affiliation:Departmen of Ophthalmology, Peking University Shenzhen Hospital, Shenzhen 518035, Guangdong Province, Chian

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Abstract

Obiective By comparing the break-up time and Schirmer I test of dry eye patients before and after 1 and 3 month of lacrimal punctum embolization.,Analyze the influence of lacrimal punctum embolization on the patients with dry eye tear quality. Methods In this prospective cohert study , 31 dry eye patients (42 eyes) from Peking University ShenZhen Hospital. Break-up time and Schirmer I test were tested at before and after 1 and 3 month of lacrimal punctum embolization. A one-way ANOVA was used for data analysis. Results The mean BUT of dry eye patient before and after 1 and 3 month of lacrimal punctum embolization, (4.12±1.57)S, (8.33±1.62)S, (7.67±1.60)S,respectively. The difference between the three datas was statistically significant (P<0.005). Further comparison each others shows , BUT value of preoperative group significantly less than group 1 month after surgery (P<0.005), BUT value of preoperative group significantly less than group 3 month after surgery (P<0.005), BUT value of group 1 month after surgery significantly less than group 3 month after surgery (P<0.005). The mean Schirmer I test of dry eye patient before and after 1 and 3 month of lacrimal punctum embolization, (3.47±0.48)mm, (7.88±2.49)mm, (6.99±2.00) mm,respectively. The difference between the three datas was statistically significant (P<0.005). Further comparison each others shows , Schirmer I value of preoperative group significantly less than group 1 month after surgery (P<0.005), Schirmer I value of preoperative group significantly less than group 3 month after surgery (P<0.005), Schirmer I value of group 1 month after surgery significantly less than group 3 month after surgery (P<0.005). Conclusion Influence of lacrimal punctum embolization can obviously increase the Schirmer I test in patients with dry eye, appears stability obviously improved,But with the extension of time.

【Keyword】Lacrimal Punctum Embolization; Dry Eye; Break-up Time; Schirmer I Test

【Chart number】R777.2+1

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2017.01.001