Tear Meniscus Volume Changes in Dacryocystorhinostomy Evaluated With Quantitative Measurement Using Anterior Segment Optical Coherence Tomography
| Autor: | Tomohiko Usui, Rika Shirakawa, Shiro Amano, Takashi Ueta, Kazuyoshi Ohtomo, Miyuki Nagahara, Reina Fukuda, Takashi Miyai |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty medicine.medical_treatment Dacryocystorhinostomy Optical coherence tomography Anterior Eye Segment Tear meniscus height medicine Humans Surface Tension Postoperative Period Aged Retrospective Studies Rank correlation Aged 80 and over Lacrimal Apparatus Diseases medicine.diagnostic_test business.industry Clinical course Perioperative Middle Aged medicine.disease Nasolacrimal duct obstruction Tear meniscus Tears Female sense organs Nuclear medicine business Tomography Optical Coherence Follow-Up Studies |
| Zdroj: | Investigative Opthalmology & Visual Science. 55:2057 |
| ISSN: | 1552-5783 |
| DOI: | 10.1167/iovs.13-12692 |
| Popis: | PURPOSE To evaluate tear meniscus (TM) changes in external dacryocystorhinostomy (ex-DCR) with quantitative measurement of tear meniscus height (TMH), area (TMA), and volume (TMV) using anterior segment optical coherence tomography (AS-OCT). METHODS Twenty-five eyes from 21 patients (11 males and 10 females) with primary acquired nasolacrimal duct obstruction (PANDO) who received ex-DCR from May 2010 to April 2011 were evaluated prospectively on their TMH, TMA, and TMV changes by AS-OCT. Measurements were performed before surgery (Pre) and 2 weeks (2W), 2 months (2M), and 6 months (6M) after surgery. Data were analyzed using Kruskal-Wallis test, Wilcoxon signed-rank test with Bonferroni adjustment, and Spearman's rank correlation coefficient. RESULTS All patients had a good clinical course, and there were significant differences in the values of each TM parameter before and after surgery (P < 0.0001). The median values of TMH (mm) throughout the observation period were 0.707 (Pre), 0.334 (2W), 0.278 (2M), and 0.277 (6M). The TMA median values (mm(2)) were 0.1097 (Pre), 0.0483 (2W), 0.0255 (2M), and 0.0224 (6M). The TMV median values (mm(3)) were 0.7799 (Pre), 0.1614 (2W), 0.1071 (2M), and 0.1553 (6M). There were significant differences in TMH, TMA, and TMV reduction at each postoperative visit as compared to preoperative values (P < 0.001). In addition, TMH change 6 months after ex-DCR showed a significant positive correlation with age (r = 0.4434, P = 0.0264). CONCLUSIONS The perioperative TM changes in ex-DCR can be evaluated noninvasively and quantitatively by using AS-OCT. |
| Databáze: | OpenAIRE |
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