Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension

Masahiro Fujimoto,1 Ken Ogino,1 Chika Miyazaki,1,2 Miou Hirose,1,3 Hiroko Matsuyama,1,4 Takeshi Moritera,1,5 Nagahisa Yoshimura1 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan; 2Department of Ophthalmology, Hyogo Prefectural Tsukaguchi...

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Autores principales:	Fujimoto M, Ogino K, Miyazaki C, Hirose M, Matsuyama H, Moritera T, Yoshimura N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/41ec4e63bc474cb7bfc71a5095de7027
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spelling	oai:doaj.org-article:41ec4e63bc474cb7bfc71a5095de70272021-12-02T03:25:01ZEvaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension1177-5483https://doaj.org/article/41ec4e63bc474cb7bfc71a5095de70272014-08-01T00:00:00Zhttp://www.dovepress.com/evaluation-of-dacryocystorhinostomy-using-optical-coherence-tomography-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Masahiro Fujimoto,1 Ken Ogino,1 Chika Miyazaki,1,2 Miou Hirose,1,3 Hiroko Matsuyama,1,4 Takeshi Moritera,1,5 Nagahisa Yoshimura1 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan; 2Department of Ophthalmology, Hyogo Prefectural Tsukaguchi Hospital, Hyogo, Japan; 3Department of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Hyogo, Japan; 4Department of Ophthalmology, National Hospital Organization Himeji Medical Center, Hyogo, Japan; 5Moritera Eye Clinic, Shiga, Japan Purpose: To evaluate the surgical outcome of dacryocystorhinostomy (DCR) by measuring the tear meniscus, using optical coherence tomography and rebamipide ophthalmic suspension. Methods: Patients with nasolacrimal obstruction and chronic dacryocystitis who were scheduled for an endonasal DCR underwent tear meniscus examinations before and 2 months after surgery. Vertical scans of the inferior menisci were performed before and at 1, 3, 5, 7, and 10 minutes after the instillation of rebamipide ophthalmic suspension. The tear menisci areas were measured with imaging software. Ten young adults without epiphora formed the control group.Results: Anatomical success was achieved on 22 sides of 21 patients. The patients’ postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults. Nevertheless, the postoperative meniscus area tended to be larger than that of the young adults at all points.Conclusion: The reduced tear meniscus area after DCR reflected the success of the surgical procedure. However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR. Keywords: dacryocystorhinostomy, tear meniscus, rebamipide, optical coherence tomographyFujimoto MOgino KMiyazaki CHirose MMatsuyama HMoritera TYoshimura NDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1441-1445 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Fujimoto M Ogino K Miyazaki C Hirose M Matsuyama H Moritera T Yoshimura N Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
description	Masahiro Fujimoto,1 Ken Ogino,1 Chika Miyazaki,1,2 Miou Hirose,1,3 Hiroko Matsuyama,1,4 Takeshi Moritera,1,5 Nagahisa Yoshimura1 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan; 2Department of Ophthalmology, Hyogo Prefectural Tsukaguchi Hospital, Hyogo, Japan; 3Department of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Hyogo, Japan; 4Department of Ophthalmology, National Hospital Organization Himeji Medical Center, Hyogo, Japan; 5Moritera Eye Clinic, Shiga, Japan Purpose: To evaluate the surgical outcome of dacryocystorhinostomy (DCR) by measuring the tear meniscus, using optical coherence tomography and rebamipide ophthalmic suspension. Methods: Patients with nasolacrimal obstruction and chronic dacryocystitis who were scheduled for an endonasal DCR underwent tear meniscus examinations before and 2 months after surgery. Vertical scans of the inferior menisci were performed before and at 1, 3, 5, 7, and 10 minutes after the instillation of rebamipide ophthalmic suspension. The tear menisci areas were measured with imaging software. Ten young adults without epiphora formed the control group.Results: Anatomical success was achieved on 22 sides of 21 patients. The patients’ postoperative tear menisci were significantly smaller than the preoperative menisci at all points during the test, and the response to volume loading in the postoperative patients was corrected to nearly that of the young, healthy adults. Nevertheless, the postoperative meniscus area tended to be larger than that of the young adults at all points.Conclusion: The reduced tear meniscus area after DCR reflected the success of the surgical procedure. However, incomplete recovery of the meniscus after the test might suggest a residual disorder of the lacrimal drainage system after DCR. Keywords: dacryocystorhinostomy, tear meniscus, rebamipide, optical coherence tomography
format	article
author	Fujimoto M Ogino K Miyazaki C Hirose M Matsuyama H Moritera T Yoshimura N
author_facet	Fujimoto M Ogino K Miyazaki C Hirose M Matsuyama H Moritera T Yoshimura N
author_sort	Fujimoto M
title	Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
title_short	Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
title_full	Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
title_fullStr	Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
title_full_unstemmed	Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
title_sort	evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/41ec4e63bc474cb7bfc71a5095de7027
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Evaluation of dacryocystorhinostomy using optical coherence tomography and rebamipide ophthalmic suspension

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