Galindo-Ferreiro Alicia, AlGhafri Laila, Akaishi Patricia, Galvez-Ruiz Alberto, Galindo-Alonso Julio, Schellini Silvana, Cruz Augusto
Oculoplastic Division, King Khaled Eye Specialist Hospital, Riyadh 12329, Saudi Arabia.
Department of Ophthalmology, Rio Hortega University Hospital, 47012, Valladolid, Spain.
Middle East Afr J Ophthalmol. 2018 Jul-Dec;25(3-4):170-172. doi: 10.4103/meajo.MEAJO_102_16.
This study aims to describe a case of double lower lacrimal punctum-canaliculi in a dry eye patient treated with a punctal plug. A 60-year-old healthy female presented with complaints of tearing, itchy eyes, and foreign body sensation in the right eye for many years. There was no history of trauma or inflammation. Two patent independent supernumerary puncta and canaliculi were present on the right lower eyelid. The Schirmer Test II (with anesthesia) was zero, the tear breakup time was 2 s, and superficial punctate erosions were present in the right eye. A long-term nonabsorbable punctal plug was inserted into one of the lower puncta. At 9-month follow-up, the dry eye symptoms decreased markedly, the Schirmer Test II improved and superficial keratitis resolved.
本研究旨在描述一例使用泪点塞治疗的干眼患者双侧下泪点及泪小管的情况。一名60岁健康女性多年来一直抱怨右眼流泪、眼痒和有异物感。无外伤或炎症病史。右下眼睑存在两个独立的、通畅的多余泪点和泪小管。泪液分泌试验II（表面麻醉后）为零，泪膜破裂时间为2秒，右眼存在浅层点状角膜糜烂。将一个长效不可吸收泪点塞插入其中一个下泪点。随访9个月时，干眼症状明显减轻，泪液分泌试验II改善，浅层角膜炎消退。
