Conjunctivitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Despite the availability of efficient tear substitutes, many patients with keratoconjunctivitis sicca (dry eye syndrome) experience severe corneal injuries and a subsequent loss of vision. Surgical techniques include lateral tarsorrhaphy, punctal plugs, conjunctival flap, mucous membrane grafting, salivary gland duct transposition,and Lens therapy.[1][2][3][4]
Surgery
Keratoconjunctivitis Sicca
Lateral tarsorrhaphy
If a person has difficulty closing the eyes for any reason, such as Bell's palsy, the eyes may dry out because of tear evaporation.Lateral tarsorrhaphy is a procedure during which the lateral one-third of the eyelids are sewn together to decrease the ability of the eye to open widely and to help the eyes close more easily.[1]
Punctal plugs
A punctal plug is a small device that is inserted into the tear duct. This prevents the drainage of liquid from the eye. Punctal plugs are often used in the treatment of dry eye syndrome. Available types include absorbable plugs, nonabsorbable plugs, thermoplastic plugs, and hydrogel plugs.[2]
Conjunctival flap
Mucous membrane grafting
Salivary gland duct transposition
Lens therapy
Prosthetic replacement of the ocular surface ecosystem (PROSE) lens therapy
References
- ↑ 1.0 1.1 Rajak S, Rajak J, Selva D (2015). "Performing a tarsorrhaphy". Community Eye Health. 28 (89): 10–1. PMC 4579993. PMID 26435586.
- ↑ 2.0 2.1 Baxter SA, Laibson PR (2004). "Punctal plugs in the management of dry eyes". Ocul Surf. 2 (4): 255–65. PMID 17216100.
- ↑ Khodadoust A, Quinter AP (2003). "Microsurgical approach to the conjunctival flap". Arch Ophthalmol. 121 (8): 1189–93. doi:10.1001/archopht.121.8.1189. PMID 12912699.
- ↑ Güerrissi JO, Belmonte J (2004). "Surgical treatment of dry eye syndrome: conjunctival graft of the minor salivary gland". J Craniofac Surg. 15 (1): 6–10. PMID 14704553.