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    The Two Easiest Surgeries To Treat Dry Eye:: 1. Punctum Patching

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    Kartika Rezky
    The document discusses surgical treatments for dry eye, specifically punctum patching and cisternoplasty. It states that punctum patching and cisternoplasty do not cure dry eye but greatly improve life for those with moderate to severe dry eye. The document also notes that an abdominal reservoir is the only technique that allows for successful keratoplasty in cases of total dry eyes.

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    The Two Easiest Surgeries To Treat Dry Eye:: 1. Punctum Patching

    Uploaded by

    Kartika Rezky
    7 views39 pages
    The document discusses surgical treatments for dry eye, specifically punctum patching and cisternoplasty. It states that punctum patching and cisternoplasty do not cure dry eye but greatly improve life for those with moderate to severe dry eye. The document also notes that an abdominal reservoir is the only technique that allows for successful keratoplasty in cases of total dry eyes.

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    dry eyes

    Original Title

    4eyes_murube

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    The document discusses surgical treatments for dry eye, specifically punctum patching and cisternoplasty. It states that punctum patching and cisternoplasty do not cure dry eye but greatly improve life for those with moderate to severe dry eye. The document also notes that an abdominal reservoir is the only technique that allows for successful keratoplasty in cases of total dry eyes.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    7 views39 pages

    The Two Easiest Surgeries To Treat Dry Eye:: 1. Punctum Patching

    Uploaded by

    Kartika Rezky
    The document discusses surgical treatments for dry eye, specifically punctum patching and cisternoplasty. It states that punctum patching and cisternoplasty do not cure dry eye but greatly improve life for those with moderate to severe dry eye. The document also notes that an abdominal reservoir is the only technique that allows for successful keratoplasty in cases of total dry eyes.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 39

    Juan Murube, MD, PhD (Spain)

    THE TWO EASIEST SURGERIES


    TO TREAT
    DRY EYE:

    1. PUNCTUM PATCHING

    2. CISTERNOPLASTY
    _____________________________
    WHY SPEAK ABOUT THE SURGICAL
    TREATMENT OF DRY EYE?
    DRY EYE IS THE MOST FREQUENT DISEASE IN
    OPHTHALMOLOGY.
    DRY EYE AND GLAUCOMA ARE AT PRESENT
    THE MOST FREQUENT CHRONIC MEDICAL
    TREATMENTS IN OPHTHALMOLOGY.
    ALL PEOPLE WILL SUFFER DRY EYE IF THEY
    LIVE LONG ENOUGH.
    AT PRESENT DRY EYE HAS NO CURE, AND
    TREATMENT IS ONLY PALLIATIVE
    IN THE NEAR FUTURE, SURGICAL TREATMENT
    OF DRY EYE WILL GREATLY INCREASE IN
    FREQUENCY.

    THE TRIPLE CLASSIFICATION OF DRY EYE

    I. ETIOPATHOGENIC II. HISTOGLANDULAR III. SEVERITY


    1. Age-related A queo-deficient 1. Mild.
    2. Hormonal L ipo-deficient 2. Moderate
    3. Pharmacologic M ucin-deficient 3. Severe
    4. Immunopathic E pitheliopathic
    5. Hyponutritional N on ocular dryness
    6. Dysgenetic
    7. Adenitic
    8. Traumatic
    9. Neurodeprivative
    10. Tantalic






    SURGICAL TREATMENT


    1. SUPPLYING FLUID TO THE LACRIMAL POOL
    PAROTID DUCT TRANSPOSITION
    SALIVARY GLAND TRANSPLANTATION
    ABDOMINAL RESERVOIR

    2. RETAINING FLUID IN THE LACRIMAL POOL
    PUNCTUM OCCLUSION
    CISTERNOPLASTY

    STENOs DUCT TRANSPOSITION, 1951
    TRANSPLANTATION OF MAJOR SALIVARY
    GLANDS to the TEMPORAL FOSSA, 1986



    TRANSPLANTATION OF MINOR GLANDS
    (f.i. labial) TO THE SURFOCULUS
    SUBCUTANEOUS ABDOMINAL RESERVOIRS


    SURGICAL TREATMENT


    1. SUPPLYING FLUID TO THE SURFOCULAR POOL
    PAROTID DUCT TRANSPOSITION
    SALIVARY GLAND TRANSPLANTATATION
    ABDOMINAL RESERVOIR

    2. RETAINING FLUID IN THE SURFOCULAR POOL
    PUNCTUM OCCLUSION
    CISTERNOPLASTY

    3 METHODS FOR
    THERMAL
    OCCLUSION:

    1. GALVANOCAUTEY
    2. DIATHERMY
    3. LASER
    PUNCTUM PLUGS
    iniciated by Freeman in 1975
    PUNCTUM OCCLUSION WITH
    SMART PLUGS
    PATCHING OF THE LACRIMAL
    PUNCTUM with autologous conjunctiva
    PUNCTUM PATCHING with
    AUTOLOGOUS SKIN


    2, CISTERNOPLASTY
    -THE VOLUME OF A NORMAL LACRIMAL BASIN IS 7 l.
    - A DROP OF ARTIFICIAL TEAR HAS 30 l, AND
    OVERCHARGES THE LACRIMAL POOL.
    - FIVE MINUTES AFTER INSTILLING THE DROP, THE
    LACRIMAL POOL RETURNS TO 7 l.
    - IT WAS MANDATORY TO LOOK FOR A SOLUTION TO
    THIS WASTE !
    CISTERNOPLASTY
    A CISTERNOPLASTY QUADRUPLICATES THE CONTENT OF THE LACRIMAL
    BASIN, AND THE TIME OF RETENTION
    THANKS FOR YOUR
    ATTENTION
    PUNCTUM PATCHING WITH
    1. AUTOLOGOUS CONJUNCTIVA OR LID SKIN
    2. AND CISTERNOPLASTY DO NOT CURE,

    BUT GREATLY IMPROVE THE LIFE OF PEOPLE
    DEFINED IN THE TRIPLE CLASSIFICATION OF DRY
    EYE AS HAVING MEDIUM AND SEVERE DRY EYE
    GARRET
    ABDOMINAL RESERVOIR
    IS THE ONLY
    TECHNIQUE THAT
    ALLOWS TO PERFORM A
    SUCCESSFUL
    KERATOPLASTY IN
    TOTAL DRY EYES

    PUNTUM PLUGS
    iniciated by Freeman in 1975
    PUNCTUM PLUG
    CAUTERIZATION OF THE
    LACRIMAL CANALICULI

    TREATMENT OF DRY EYE



    1. PSYCHOLOGIC
    2. ENVIRONMENTAL
    3. MEDICAL
    4. SURGICAL
    PUNCTUM PATCHING with
    AUTOLOGOUS SKIN
    0
    50
    100
    1er trim. 3er trim.
    Este Oeste Norte

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