Most Read Articles
Rachel Soon, 3 days ago

Gels utilizing Stichopus horrens (golden sea cucumber/gamat) extract show a similar efficacy to standard-of-care hydrogels for promoting wound healing, according to a prospective study.

16 Mar 2019
Sleep difficulties are exacerbated in long-term survivors of childhood cancers, which may lead to persistent emotional distress, a new study has found.
2 days ago
Higher cancer symptom burden in elderly adults is associated with functional impairment, reports a recent study.
Jairia Dela Cruz, 5 days ago
Use of mirabegron in the treatment of men with overactive bladder (OAB) appears to effectively alleviate urgency and storage symptoms, but not reduce the frequency of micturition episodes, according to data from the MIRACLE study.

Early recognition, management of LDS stenosis lowers burden in patients undergoing surgery

17 Dec 2018

Reflex tearing by Meibomian gland dysfunction must be considered for proper tearing management due to the high incidence of accompanying Meibomian gland loss in cases of lacrimal drainage system (LDS) obstruction, suggests a recent study.

“Early recognition and management of LDS stenosis could result in patients undergoing surgery with a lower burden,” the authors said.

Thirty-four eyes of 17 patients (mean age 62.4 years) were included in the analysis, with a mean follow-up period of 9.6 months. Ten eyes (29.4 percent) displayed total regurgitation on syringing, while 19 eyes (55.9 percent) showed partial regurgitation and five eyes (14.7 percent) showed no regurgitation. Mean lipid layer thickness on LipiView was 34.5 nm (range, 20–89 nm). Mean meibo scores were 2.15 and 2.53 in the upper and lower eyelids, respectively.

Patients were given the following treatment: silicon tube intubation (STI; 10 eyes) dacryocystorhinostomy (DCR; dour eyes), conjuctivodacryocystorhinostomy (CDCR; eight eyes), DCR combined with CDCR (one eye) and conservative care (11 eyes). Mean time interval from onset of tearing to first clinic visit was 1.4 months in the conservative care group, 2.9 months in the STI and DCR groups, and 6.0 months in the CDCR group.

In this study, the authors retrospectively reviewed the clinical records of patients who complained of tearing between August 2014 and February 2016 and underwent or were undergoing chemotherapy. The following clinical measurements were used: LipiView interferometer (lipid layer thickness and meibography), lacrimal drainage examinations (syringing) and outcomes at 6 months after treatment.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Rachel Soon, 3 days ago

Gels utilizing Stichopus horrens (golden sea cucumber/gamat) extract show a similar efficacy to standard-of-care hydrogels for promoting wound healing, according to a prospective study.

16 Mar 2019
Sleep difficulties are exacerbated in long-term survivors of childhood cancers, which may lead to persistent emotional distress, a new study has found.
2 days ago
Higher cancer symptom burden in elderly adults is associated with functional impairment, reports a recent study.
Jairia Dela Cruz, 5 days ago
Use of mirabegron in the treatment of men with overactive bladder (OAB) appears to effectively alleviate urgency and storage symptoms, but not reduce the frequency of micturition episodes, according to data from the MIRACLE study.