Cargando…

Simple surgical punctal occlusion with high frequency radiowave electrosurgery

BACKGROUND: To introduce and evaluate the efficacy of a simple punctal occlusion technique for dry eye patients. METHODS: Medical records of 79 eyes from 40 patients refractory to common dry eye conservative treatment who underwent multiple high-frequency radio-wave electro-punctal occlusion were re...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Jeong Woo, Han, Jisang, Choi, Wan Kyu, Kim, Jaemin, Choi, Chul Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893631/
https://www.ncbi.nlm.nih.gov/pubmed/36732735
http://dx.doi.org/10.1186/s12886-023-02798-4
_version_ 1784881567649234944
author Park, Jeong Woo
Han, Jisang
Choi, Wan Kyu
Kim, Jaemin
Choi, Chul Young
author_facet Park, Jeong Woo
Han, Jisang
Choi, Wan Kyu
Kim, Jaemin
Choi, Chul Young
author_sort Park, Jeong Woo
collection PubMed
description BACKGROUND: To introduce and evaluate the efficacy of a simple punctal occlusion technique for dry eye patients. METHODS: Medical records of 79 eyes from 40 patients refractory to common dry eye conservative treatment who underwent multiple high-frequency radio-wave electro-punctal occlusion were retrospectively reviewed. Pre- and post-procedural ocular surface indices (Schirmer test, tear break-up time (TBUT), and corneal staining grade (Oxford scheme)) and subjective symptom scores (including frequency of artificial tear use, interval between procedures, and total repeat time) were analyzed. RESULTS: Average Schirmer test result was significantly (P < 0.05) improved from 4.10 ± 1.39 mm to 8.14 ± 3.13 mm at 6 weeks after the procedure (n = 79). A total of 32 eyes from 16 patients underwent repeated procedure with a mean interval of 8.00 ± 4.86 months, while 24 patients had a single procedure. Twenty-five of 30 patients showed improvement for subjective symptom scores. No complications related to the procedure were observed. CONCLUSIONS: A simple, less-invasive punctal occlusion technique using a fine-needle tip with high-frequency radio-wave could significantly relieve subjective symptoms and improve ocular surface indices of patients with aqueous deficient dry eye without causing a major complication. This procedure may play a considerable role in treating dry eye refractory to common practices. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-023-02798-4.
format Online
Article
Text
id pubmed-9893631
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-98936312023-02-03 Simple surgical punctal occlusion with high frequency radiowave electrosurgery Park, Jeong Woo Han, Jisang Choi, Wan Kyu Kim, Jaemin Choi, Chul Young BMC Ophthalmol Research BACKGROUND: To introduce and evaluate the efficacy of a simple punctal occlusion technique for dry eye patients. METHODS: Medical records of 79 eyes from 40 patients refractory to common dry eye conservative treatment who underwent multiple high-frequency radio-wave electro-punctal occlusion were retrospectively reviewed. Pre- and post-procedural ocular surface indices (Schirmer test, tear break-up time (TBUT), and corneal staining grade (Oxford scheme)) and subjective symptom scores (including frequency of artificial tear use, interval between procedures, and total repeat time) were analyzed. RESULTS: Average Schirmer test result was significantly (P < 0.05) improved from 4.10 ± 1.39 mm to 8.14 ± 3.13 mm at 6 weeks after the procedure (n = 79). A total of 32 eyes from 16 patients underwent repeated procedure with a mean interval of 8.00 ± 4.86 months, while 24 patients had a single procedure. Twenty-five of 30 patients showed improvement for subjective symptom scores. No complications related to the procedure were observed. CONCLUSIONS: A simple, less-invasive punctal occlusion technique using a fine-needle tip with high-frequency radio-wave could significantly relieve subjective symptoms and improve ocular surface indices of patients with aqueous deficient dry eye without causing a major complication. This procedure may play a considerable role in treating dry eye refractory to common practices. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-023-02798-4. BioMed Central 2023-02-02 /pmc/articles/PMC9893631/ /pubmed/36732735 http://dx.doi.org/10.1186/s12886-023-02798-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Park, Jeong Woo
Han, Jisang
Choi, Wan Kyu
Kim, Jaemin
Choi, Chul Young
Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title_full Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title_fullStr Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title_full_unstemmed Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title_short Simple surgical punctal occlusion with high frequency radiowave electrosurgery
title_sort simple surgical punctal occlusion with high frequency radiowave electrosurgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893631/
https://www.ncbi.nlm.nih.gov/pubmed/36732735
http://dx.doi.org/10.1186/s12886-023-02798-4
work_keys_str_mv AT parkjeongwoo simplesurgicalpunctalocclusionwithhighfrequencyradiowaveelectrosurgery
AT hanjisang simplesurgicalpunctalocclusionwithhighfrequencyradiowaveelectrosurgery
AT choiwankyu simplesurgicalpunctalocclusionwithhighfrequencyradiowaveelectrosurgery
AT kimjaemin simplesurgicalpunctalocclusionwithhighfrequencyradiowaveelectrosurgery
AT choichulyoung simplesurgicalpunctalocclusionwithhighfrequencyradiowaveelectrosurgery