Intra-canalicular Gelatin Implants in the Treatment of Kerato-conjunctivitis Sicca.
نویسنده
چکیده
IN patients suffering from kerato-conjunctivitis sicca, occlusion of the lacrimal puncta may be followed by a marked relief of symptoms and an improvement in the appearance of the cornea and conjunctiva. Unfortunately, this is not always the case, for some patients are no better after this procedure and a few may actually develop epiphora. Stallard (1958) has stressed how thorough cautery to the canaliculi has to be if effective occlusion is to be attained, and there is little doubt that the resulting obliteration of the canaliculi is permanent. Because of this, many surgeons are reluctant to use the procedure, reserving it for severe and longstanding cases of kerato-conjunctivitis sicca where they can be fairly certain that undesirable sequelae are unlikely to be encountered. It is probably true that cases of kerato-conjunctivitis sicca are more common than is generally realized, and that many of these might be helped by occlusion of the puncta if it could be ascertained beforehand that this procedure would, in fact, relieve the patient's symptoms and not be followed by epiphora. With this in view a simple method of creating a temporary obstruction of the canaliculi by the insertion of fine water-soluble gelatin rods has been developed and has proved of value in assessing the probable effects of permanent obstruction of the canaliculi.
منابع مشابه
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ورودعنوان ژورنال:
- The British journal of ophthalmology
دوره 45 9 شماره
صفحات -
تاریخ انتشار 1961