Assessment of tear meniscus by optical coherence tomography in patients with canalicular laceration repair

Purpose To analyze tear meniscus measurements with optical coherence tomography (OCT) in patients with canalicular laceration repair. Methods Thirty-four consecutive patients who underwent unilateral canalicular repair due to canalicular laceration between January 2014 and December 2018 were include...

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Veröffentlicht in:International ophthalmology 2020, Vol.40 (1), p.13-18
Hauptverfasser: Karadenız Ugurlu, Seyda, Altın Ekın, Meryem, Aytogan, Hasan
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Aytogan, Hasan
description Purpose To analyze tear meniscus measurements with optical coherence tomography (OCT) in patients with canalicular laceration repair. Methods Thirty-four consecutive patients who underwent unilateral canalicular repair due to canalicular laceration between January 2014 and December 2018 were included. All patients had canalicular repair followed by monocanalicular or annular silicone tube intubation. Anatomic patency of canalicular system was tested with probing and irrigation, while functional patency was evaluated with Munk score. Tear meniscus measurements of all patients were obtained following tube removal by spectral OCT. Tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) of eyes with canalicular laceration repair and contralateral uninvolved eyes were compared. Results Average age of 34 patients was 32.8 ± 21.3 years (range 4–68 years). Lower canaliculus was involved in 27 (79.4%), upper canaliculus in five (14.7%), and both canaliculi in two (5.9%) patients. Mean follow-up period was 6.5 ± 5.7 months. Anatomic patency rate was 100%, and functional patency (patients free of epiphora) was 91.2%. Average TMH (317.9 ± 133.1 µm), TMD (198.1 ± 82.5 µm) and TMA (29,792.1 ± 21,285.3 μm 2 ) values of eyes with canalicular repair were not significantly different from TMH (308.9 ± 111.9 µm), TMD (184.5 ± 61.4 µm) and TMA (26,682.5 ± 16,178.1 μm 2 ) values of contralateral control eyes ( p values: 0.758, 0.225 and 0.778, respectively). There was a strong positive correlation between TMA and Munk score ( r  = 0.637, p  
doi_str_mv 10.1007/s10792-019-01147-z
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Methods Thirty-four consecutive patients who underwent unilateral canalicular repair due to canalicular laceration between January 2014 and December 2018 were included. All patients had canalicular repair followed by monocanalicular or annular silicone tube intubation. Anatomic patency of canalicular system was tested with probing and irrigation, while functional patency was evaluated with Munk score. Tear meniscus measurements of all patients were obtained following tube removal by spectral OCT. Tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) of eyes with canalicular laceration repair and contralateral uninvolved eyes were compared. Results Average age of 34 patients was 32.8 ± 21.3 years (range 4–68 years). Lower canaliculus was involved in 27 (79.4%), upper canaliculus in five (14.7%), and both canaliculi in two (5.9%) patients. Mean follow-up period was 6.5 ± 5.7 months. Anatomic patency rate was 100%, and functional patency (patients free of epiphora) was 91.2%. Average TMH (317.9 ± 133.1 µm), TMD (198.1 ± 82.5 µm) and TMA (29,792.1 ± 21,285.3 μm 2 ) values of eyes with canalicular repair were not significantly different from TMH (308.9 ± 111.9 µm), TMD (184.5 ± 61.4 µm) and TMA (26,682.5 ± 16,178.1 μm 2 ) values of contralateral control eyes ( p values: 0.758, 0.225 and 0.778, respectively). There was a strong positive correlation between TMA and Munk score ( r  = 0.637, p  &lt; 0.001) and moderate positive correlation between TMH ( r  = 521, p  = 0.002), TMD ( r  = 0.481, p  = 0.004) and Munk score. Conclusion Tear meniscus measurement with OCT is a rapid, quantitative and objective tool for evaluation of canalicular patency in patients with canalicular laceration repair.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-019-01147-z</identifier><identifier>PMID: 31309438</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Cornea ; Dry Eye Syndromes - metabolism ; Dry Eye Syndromes - pathology ; Dry Eye Syndromes - surgery ; Eye surgery ; Eyelids - pathology ; Female ; Humans ; Intubation ; Lacrimal Apparatus - metabolism ; Lacrimal Apparatus - pathology ; Lacrimal Apparatus - surgery ; Male ; Medicine ; Medicine &amp; Public Health ; Meniscus ; Methods ; Middle Aged ; Ophthalmologic Surgical Procedures - methods ; Ophthalmology ; Optical Coherence Tomography ; Original Paper ; Prospective Studies ; Reproducibility of Results ; Silicones ; Tearing ; Tears - metabolism ; Tomography ; Tomography, Optical Coherence - methods ; Young Adult</subject><ispartof>International ophthalmology, 2020, Vol.40 (1), p.13-18</ispartof><rights>Springer Nature B.V. 2019</rights><rights>International Ophthalmology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5ad30460dc86d9db3823ac695371a4a1a8231c2404466645fb61aa9bb513c7ba3</citedby><cites>FETCH-LOGICAL-c375t-5ad30460dc86d9db3823ac695371a4a1a8231c2404466645fb61aa9bb513c7ba3</cites><orcidid>0000-0002-4057-3984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-019-01147-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-019-01147-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31309438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karadenız Ugurlu, Seyda</creatorcontrib><creatorcontrib>Altın Ekın, Meryem</creatorcontrib><creatorcontrib>Aytogan, Hasan</creatorcontrib><title>Assessment of tear meniscus by optical coherence tomography in patients with canalicular laceration repair</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose To analyze tear meniscus measurements with optical coherence tomography (OCT) in patients with canalicular laceration repair. Methods Thirty-four consecutive patients who underwent unilateral canalicular repair due to canalicular laceration between January 2014 and December 2018 were included. All patients had canalicular repair followed by monocanalicular or annular silicone tube intubation. Anatomic patency of canalicular system was tested with probing and irrigation, while functional patency was evaluated with Munk score. Tear meniscus measurements of all patients were obtained following tube removal by spectral OCT. Tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) of eyes with canalicular laceration repair and contralateral uninvolved eyes were compared. Results Average age of 34 patients was 32.8 ± 21.3 years (range 4–68 years). Lower canaliculus was involved in 27 (79.4%), upper canaliculus in five (14.7%), and both canaliculi in two (5.9%) patients. Mean follow-up period was 6.5 ± 5.7 months. Anatomic patency rate was 100%, and functional patency (patients free of epiphora) was 91.2%. Average TMH (317.9 ± 133.1 µm), TMD (198.1 ± 82.5 µm) and TMA (29,792.1 ± 21,285.3 μm 2 ) values of eyes with canalicular repair were not significantly different from TMH (308.9 ± 111.9 µm), TMD (184.5 ± 61.4 µm) and TMA (26,682.5 ± 16,178.1 μm 2 ) values of contralateral control eyes ( p values: 0.758, 0.225 and 0.778, respectively). There was a strong positive correlation between TMA and Munk score ( r  = 0.637, p  &lt; 0.001) and moderate positive correlation between TMH ( r  = 521, p  = 0.002), TMD ( r  = 0.481, p  = 0.004) and Munk score. 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Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karadenız Ugurlu, Seyda</au><au>Altın Ekın, Meryem</au><au>Aytogan, Hasan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of tear meniscus by optical coherence tomography in patients with canalicular laceration repair</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2020</date><risdate>2020</risdate><volume>40</volume><issue>1</issue><spage>13</spage><epage>18</epage><pages>13-18</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose To analyze tear meniscus measurements with optical coherence tomography (OCT) in patients with canalicular laceration repair. Methods Thirty-four consecutive patients who underwent unilateral canalicular repair due to canalicular laceration between January 2014 and December 2018 were included. All patients had canalicular repair followed by monocanalicular or annular silicone tube intubation. Anatomic patency of canalicular system was tested with probing and irrigation, while functional patency was evaluated with Munk score. Tear meniscus measurements of all patients were obtained following tube removal by spectral OCT. Tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) of eyes with canalicular laceration repair and contralateral uninvolved eyes were compared. Results Average age of 34 patients was 32.8 ± 21.3 years (range 4–68 years). Lower canaliculus was involved in 27 (79.4%), upper canaliculus in five (14.7%), and both canaliculi in two (5.9%) patients. Mean follow-up period was 6.5 ± 5.7 months. Anatomic patency rate was 100%, and functional patency (patients free of epiphora) was 91.2%. Average TMH (317.9 ± 133.1 µm), TMD (198.1 ± 82.5 µm) and TMA (29,792.1 ± 21,285.3 μm 2 ) values of eyes with canalicular repair were not significantly different from TMH (308.9 ± 111.9 µm), TMD (184.5 ± 61.4 µm) and TMA (26,682.5 ± 16,178.1 μm 2 ) values of contralateral control eyes ( p values: 0.758, 0.225 and 0.778, respectively). There was a strong positive correlation between TMA and Munk score ( r  = 0.637, p  &lt; 0.001) and moderate positive correlation between TMH ( r  = 521, p  = 0.002), TMD ( r  = 0.481, p  = 0.004) and Munk score. Conclusion Tear meniscus measurement with OCT is a rapid, quantitative and objective tool for evaluation of canalicular patency in patients with canalicular laceration repair.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>31309438</pmid><doi>10.1007/s10792-019-01147-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4057-3984</orcidid></addata></record>
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subjects Adolescent
Adult
Aged
Child
Child, Preschool
Cornea
Dry Eye Syndromes - metabolism
Dry Eye Syndromes - pathology
Dry Eye Syndromes - surgery
Eye surgery
Eyelids - pathology
Female
Humans
Intubation
Lacrimal Apparatus - metabolism
Lacrimal Apparatus - pathology
Lacrimal Apparatus - surgery
Male
Medicine
Medicine & Public Health
Meniscus
Methods
Middle Aged
Ophthalmologic Surgical Procedures - methods
Ophthalmology
Optical Coherence Tomography
Original Paper
Prospective Studies
Reproducibility of Results
Silicones
Tearing
Tears - metabolism
Tomography
Tomography, Optical Coherence - methods
Young Adult
title Assessment of tear meniscus by optical coherence tomography in patients with canalicular laceration repair
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