Efficacy of punctum plug treatment in short break-up time dry eye

Minako Kaido, Reiko Ishida, Murat Dogru, Tomoko Tamaoki, Kazuo Tsubota

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

PURPOSE.: To evaluate the efficacy of punctum plug insertion on tear and dynamic visual function in dry eye patients with short break-up time (s-BUT) of the tears. METHODS.: A prospective comparative case series design was used. Twenty-seven eyes of 27 dry eye patients with a s-BUT seen at Keio University School of Medicine, Department of Ophthalmology, were studied. Functional visual acuity (FVA) measurements, tear function examinations and ocular surface evaluations including Schirmer test, tear break-up time, fluorescein and Rose Bengal vital staining scores were performed before and 1 month after insertion of punctum plugs (PP) in dry eye patients with s-BUT. Degree of satisfaction with the PP treatment was also graded. RESULTS.: Nineteen out of 27 eyes (70.4%) showed a satisfactory outcome with the PP treatment because of decreased subjective dry eye symptoms. On the other hand, six out of eight eyes with an unsatisfactory outcome had epiphora. The visual maintenance ratio value was observed to significantly increase from 0.87 ± 0.09 to 0.91 ± 0.07 in eyes with no epiphora, whereas the visual maintenance ratio value significantly decreased from 0.98 ± 0.10 to 0.86 ± 0.13 in the group of eyes with epiphora after PP treatment. (p < 0.05) Likewise, FVA significantly improved after PP insertion in the group with no epiphora and decreased in eyes with epiphora. Visual acuity in the conventional Landolt visual testing remained significantly unchanged in both group of eyes with or without epiphora. CONCLUSIONS.: FVA was useful in assessing and quantifying vision related symptomatology in s-BUT type of dry eye treated with PP occlusion.

Original languageEnglish
JournalOptometry and Vision Science
Volume85
Issue number8
DOIs
Publication statusPublished - 2008 Aug

Fingerprint

Lacrimal Apparatus Diseases
Tears
Visual Acuity
Therapeutics
Maintenance
Rose Bengal
Ophthalmology
Fluorescein
Medicine
Staining and Labeling

Keywords

  • Dry eye
  • Functional visual acuity
  • Punctum plug
  • Short BUT
  • Visual maintenance ratio

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry

Cite this

Efficacy of punctum plug treatment in short break-up time dry eye. / Kaido, Minako; Ishida, Reiko; Dogru, Murat; Tamaoki, Tomoko; Tsubota, Kazuo.

In: Optometry and Vision Science, Vol. 85, No. 8, 08.2008.

Research output: Contribution to journalArticle

Kaido, Minako ; Ishida, Reiko ; Dogru, Murat ; Tamaoki, Tomoko ; Tsubota, Kazuo. / Efficacy of punctum plug treatment in short break-up time dry eye. In: Optometry and Vision Science. 2008 ; Vol. 85, No. 8.
@article{cf73831c31384224afe00d895123b42f,
title = "Efficacy of punctum plug treatment in short break-up time dry eye",
abstract = "PURPOSE.: To evaluate the efficacy of punctum plug insertion on tear and dynamic visual function in dry eye patients with short break-up time (s-BUT) of the tears. METHODS.: A prospective comparative case series design was used. Twenty-seven eyes of 27 dry eye patients with a s-BUT seen at Keio University School of Medicine, Department of Ophthalmology, were studied. Functional visual acuity (FVA) measurements, tear function examinations and ocular surface evaluations including Schirmer test, tear break-up time, fluorescein and Rose Bengal vital staining scores were performed before and 1 month after insertion of punctum plugs (PP) in dry eye patients with s-BUT. Degree of satisfaction with the PP treatment was also graded. RESULTS.: Nineteen out of 27 eyes (70.4{\%}) showed a satisfactory outcome with the PP treatment because of decreased subjective dry eye symptoms. On the other hand, six out of eight eyes with an unsatisfactory outcome had epiphora. The visual maintenance ratio value was observed to significantly increase from 0.87 ± 0.09 to 0.91 ± 0.07 in eyes with no epiphora, whereas the visual maintenance ratio value significantly decreased from 0.98 ± 0.10 to 0.86 ± 0.13 in the group of eyes with epiphora after PP treatment. (p < 0.05) Likewise, FVA significantly improved after PP insertion in the group with no epiphora and decreased in eyes with epiphora. Visual acuity in the conventional Landolt visual testing remained significantly unchanged in both group of eyes with or without epiphora. CONCLUSIONS.: FVA was useful in assessing and quantifying vision related symptomatology in s-BUT type of dry eye treated with PP occlusion.",
keywords = "Dry eye, Functional visual acuity, Punctum plug, Short BUT, Visual maintenance ratio",
author = "Minako Kaido and Reiko Ishida and Murat Dogru and Tomoko Tamaoki and Kazuo Tsubota",
year = "2008",
month = "8",
doi = "10.1097/OPX.0b013e3181819f0a",
language = "English",
volume = "85",
journal = "Optometry and Vision Science",
issn = "1040-5488",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Efficacy of punctum plug treatment in short break-up time dry eye

AU - Kaido, Minako

AU - Ishida, Reiko

AU - Dogru, Murat

AU - Tamaoki, Tomoko

AU - Tsubota, Kazuo

PY - 2008/8

Y1 - 2008/8

N2 - PURPOSE.: To evaluate the efficacy of punctum plug insertion on tear and dynamic visual function in dry eye patients with short break-up time (s-BUT) of the tears. METHODS.: A prospective comparative case series design was used. Twenty-seven eyes of 27 dry eye patients with a s-BUT seen at Keio University School of Medicine, Department of Ophthalmology, were studied. Functional visual acuity (FVA) measurements, tear function examinations and ocular surface evaluations including Schirmer test, tear break-up time, fluorescein and Rose Bengal vital staining scores were performed before and 1 month after insertion of punctum plugs (PP) in dry eye patients with s-BUT. Degree of satisfaction with the PP treatment was also graded. RESULTS.: Nineteen out of 27 eyes (70.4%) showed a satisfactory outcome with the PP treatment because of decreased subjective dry eye symptoms. On the other hand, six out of eight eyes with an unsatisfactory outcome had epiphora. The visual maintenance ratio value was observed to significantly increase from 0.87 ± 0.09 to 0.91 ± 0.07 in eyes with no epiphora, whereas the visual maintenance ratio value significantly decreased from 0.98 ± 0.10 to 0.86 ± 0.13 in the group of eyes with epiphora after PP treatment. (p < 0.05) Likewise, FVA significantly improved after PP insertion in the group with no epiphora and decreased in eyes with epiphora. Visual acuity in the conventional Landolt visual testing remained significantly unchanged in both group of eyes with or without epiphora. CONCLUSIONS.: FVA was useful in assessing and quantifying vision related symptomatology in s-BUT type of dry eye treated with PP occlusion.

AB - PURPOSE.: To evaluate the efficacy of punctum plug insertion on tear and dynamic visual function in dry eye patients with short break-up time (s-BUT) of the tears. METHODS.: A prospective comparative case series design was used. Twenty-seven eyes of 27 dry eye patients with a s-BUT seen at Keio University School of Medicine, Department of Ophthalmology, were studied. Functional visual acuity (FVA) measurements, tear function examinations and ocular surface evaluations including Schirmer test, tear break-up time, fluorescein and Rose Bengal vital staining scores were performed before and 1 month after insertion of punctum plugs (PP) in dry eye patients with s-BUT. Degree of satisfaction with the PP treatment was also graded. RESULTS.: Nineteen out of 27 eyes (70.4%) showed a satisfactory outcome with the PP treatment because of decreased subjective dry eye symptoms. On the other hand, six out of eight eyes with an unsatisfactory outcome had epiphora. The visual maintenance ratio value was observed to significantly increase from 0.87 ± 0.09 to 0.91 ± 0.07 in eyes with no epiphora, whereas the visual maintenance ratio value significantly decreased from 0.98 ± 0.10 to 0.86 ± 0.13 in the group of eyes with epiphora after PP treatment. (p < 0.05) Likewise, FVA significantly improved after PP insertion in the group with no epiphora and decreased in eyes with epiphora. Visual acuity in the conventional Landolt visual testing remained significantly unchanged in both group of eyes with or without epiphora. CONCLUSIONS.: FVA was useful in assessing and quantifying vision related symptomatology in s-BUT type of dry eye treated with PP occlusion.

KW - Dry eye

KW - Functional visual acuity

KW - Punctum plug

KW - Short BUT

KW - Visual maintenance ratio

UR - http://www.scopus.com/inward/record.url?scp=52049091329&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=52049091329&partnerID=8YFLogxK

U2 - 10.1097/OPX.0b013e3181819f0a

DO - 10.1097/OPX.0b013e3181819f0a

M3 - Article

C2 - 18677228

AN - SCOPUS:52049091329

VL - 85

JO - Optometry and Vision Science

JF - Optometry and Vision Science

SN - 1040-5488

IS - 8

ER -