The proportion of ocular surface diseases in untreated patients with epiphora

Sho Ishikawa,1 Kouichiro Murayama,2 Naoko Kato1 1Department of Ophthalmology, Saitama Medical University, Saitama, Japan; 2Tsuruse Murayama Eye Clinic, Saitama, Japan Purpose: Various ocular surface disorders, such as dry eye, infectious and non-infectious inflammation, anatomical anomalies in lid...

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Autores principales:	Ishikawa S, Murayama K, Kato N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	epiphora dry eye ocular surface disorder break-up time and lacrimal disease Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/963c15a82bf14ac4aa68762565600cc6
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spelling	oai:doaj.org-article:963c15a82bf14ac4aa68762565600cc62021-12-02T00:37:22ZThe proportion of ocular surface diseases in untreated patients with epiphora1177-5483https://doaj.org/article/963c15a82bf14ac4aa68762565600cc62018-09-01T00:00:00Zhttps://www.dovepress.com/the-proportion-of-ocular-surface-diseases-in-untreated-patients-with-e-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sho Ishikawa,1 Kouichiro Murayama,2 Naoko Kato1 1Department of Ophthalmology, Saitama Medical University, Saitama, Japan; 2Tsuruse Murayama Eye Clinic, Saitama, Japan Purpose: Various ocular surface disorders, such as dry eye, infectious and non-infectious inflammation, anatomical anomalies in lid structure, and/or obstruction of the tear outflow tract, can cause epiphora. However, few reports have described the proportions of causative diseases in patients with epiphora. Therefore, we investigated the frequent causes of epiphora in older adult patients.Materials and methods: We enrolled 220 patients (70 men, 150 women) who visited a primary eye care clinic from January 2016 to August 2017 with lacrimation as a chief complaint. The mean age of the patients was 61.3±10.9 years. The causes of epiphora were assessed by slit-lamp examinations, dry eye tests, fluorescein disappearance tests, and lacrimal pathway washing.Results: The causes of epiphora were dry eye in 96, conjunctivochalasis in 56, lacrimal obstruction in 30, conjunctivitis in 20, trichiasis in 16, and facial palsy in 2 patients. Ocular surface diseases were identified in 187 of the 220 (85%) patients who complained of epiphora. Conjunctivochalasis was observed in 36 of the 96 (38%) patients with dry eye. Among the patients with dry eye, 99% had short break-up time type dry eye, with the random break type being the most frequent type (61/96; 64%) in patients with epiphora.Conclusion: Among older adult patients whose main complaint was epiphora, 85% had ocular surface diseases. In contrast, only 15% of patients had lacrimal diseases. Short break-up time dry eye, especially the random break type, was the most frequently observed form of dry eye in our cohort. Keywords: epiphora, dry eye, ocular surface disorder, break-up time, lacrimal obstructive diseaseIshikawa SMurayama KKato NDove Medical Pressarticleepiphoradry eyeocular surface disorderbreak-up timeand lacrimal diseaseOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1769-1773 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	epiphora dry eye ocular surface disorder break-up time and lacrimal disease Ophthalmology RE1-994
spellingShingle	epiphora dry eye ocular surface disorder break-up time and lacrimal disease Ophthalmology RE1-994 Ishikawa S Murayama K Kato N The proportion of ocular surface diseases in untreated patients with epiphora
description	Sho Ishikawa,1 Kouichiro Murayama,2 Naoko Kato1 1Department of Ophthalmology, Saitama Medical University, Saitama, Japan; 2Tsuruse Murayama Eye Clinic, Saitama, Japan Purpose: Various ocular surface disorders, such as dry eye, infectious and non-infectious inflammation, anatomical anomalies in lid structure, and/or obstruction of the tear outflow tract, can cause epiphora. However, few reports have described the proportions of causative diseases in patients with epiphora. Therefore, we investigated the frequent causes of epiphora in older adult patients.Materials and methods: We enrolled 220 patients (70 men, 150 women) who visited a primary eye care clinic from January 2016 to August 2017 with lacrimation as a chief complaint. The mean age of the patients was 61.3±10.9 years. The causes of epiphora were assessed by slit-lamp examinations, dry eye tests, fluorescein disappearance tests, and lacrimal pathway washing.Results: The causes of epiphora were dry eye in 96, conjunctivochalasis in 56, lacrimal obstruction in 30, conjunctivitis in 20, trichiasis in 16, and facial palsy in 2 patients. Ocular surface diseases were identified in 187 of the 220 (85%) patients who complained of epiphora. Conjunctivochalasis was observed in 36 of the 96 (38%) patients with dry eye. Among the patients with dry eye, 99% had short break-up time type dry eye, with the random break type being the most frequent type (61/96; 64%) in patients with epiphora.Conclusion: Among older adult patients whose main complaint was epiphora, 85% had ocular surface diseases. In contrast, only 15% of patients had lacrimal diseases. Short break-up time dry eye, especially the random break type, was the most frequently observed form of dry eye in our cohort. Keywords: epiphora, dry eye, ocular surface disorder, break-up time, lacrimal obstructive disease
format	article
author	Ishikawa S Murayama K Kato N
author_facet	Ishikawa S Murayama K Kato N
author_sort	Ishikawa S
title	The proportion of ocular surface diseases in untreated patients with epiphora
title_short	The proportion of ocular surface diseases in untreated patients with epiphora
title_full	The proportion of ocular surface diseases in untreated patients with epiphora
title_fullStr	The proportion of ocular surface diseases in untreated patients with epiphora
title_full_unstemmed	The proportion of ocular surface diseases in untreated patients with epiphora
title_sort	proportion of ocular surface diseases in untreated patients with epiphora
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/963c15a82bf14ac4aa68762565600cc6
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The proportion of ocular surface diseases in untreated patients with epiphora

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