Can lacrimal punctum size link to the severity of dry eye disease?
To investigate if larger punctum size links to the severity of dry eye disease (DED) and perhaps, punctum size inspection can be adopted to become one of the DED evaluations for practitioners. The records of 200 eyes of 114 patients that had temporary collagen punctum plugs due to severe DED (Level...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Taiwan Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=2;spage=198;epage=201;aulast=Chen |
| _version_ | 1818478502170591232 |
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| author | Ming Chen Jerris R Hedges So Yung Choi Keke Liu Szu Yuan Lin |
| author_facet | Ming Chen Jerris R Hedges So Yung Choi Keke Liu Szu Yuan Lin |
| author_sort | Ming Chen |
| collection | DOAJ |
| description | To investigate if larger punctum size links to the severity of dry eye disease (DED) and perhaps, punctum size inspection can be adopted to become one of the DED evaluations for practitioners. The records of 200 eyes of 114 patients that had temporary collagen punctum plugs due to severe DED (Level 2 to Level 4) from January 1, 2017, to July 31, 2018, were reviewed for the size of the plugs. Lacrimal punctum size of those eyes was approximated according to the size of vertical canalicular soft collagen plug (from 0.3 to 0.5 mm diameter, Oasis, Lacrimedics, Glendora, CA, USA). The dry eye severity grading from the International Dry Eye WorkShop was used to grade the level of the severity of DED. Those eyes classified as Level 2 and above were considered as severe due to the presentation of moderate-to-diffuse corneal staining and symptomatic. To assess if there is a correlation between punctum size and the severity of DED, the Spearman's rank correlation coefficient was calculated. Of the 200 Level 2 and above eyes, 131 (66%) eyes had a large punctum (≥0.5 mm). Punctum size larger than 0.4 mm was 95%. The estimated Spearman's ρ was 0.16. This indicates a statistical significant positive correlation (P = 0.02) between larger punctum size and higher level of DED. The larger size of lacrimal punctum may link to the severity of DED. Punctum inspection may be adopted to become one parameter for DED evaluation for practitioners. |
| first_indexed | 2024-12-10T09:49:09Z |
| format | Article |
| id | doaj.art-1e5b8094d0a048ed962e9cb4388b9997 |
| institution | Directory Open Access Journal |
| issn | 2211-5056 2211-5072 |
| language | English |
| last_indexed | 2024-12-10T09:49:09Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Taiwan Journal of Ophthalmology |
| spelling | doaj.art-1e5b8094d0a048ed962e9cb4388b99972022-12-22T01:53:43ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722022-01-0112219820110.4103/tjo.tjo_15_21Can lacrimal punctum size link to the severity of dry eye disease?Ming ChenJerris R HedgesSo Yung ChoiKeke LiuSzu Yuan LinTo investigate if larger punctum size links to the severity of dry eye disease (DED) and perhaps, punctum size inspection can be adopted to become one of the DED evaluations for practitioners. The records of 200 eyes of 114 patients that had temporary collagen punctum plugs due to severe DED (Level 2 to Level 4) from January 1, 2017, to July 31, 2018, were reviewed for the size of the plugs. Lacrimal punctum size of those eyes was approximated according to the size of vertical canalicular soft collagen plug (from 0.3 to 0.5 mm diameter, Oasis, Lacrimedics, Glendora, CA, USA). The dry eye severity grading from the International Dry Eye WorkShop was used to grade the level of the severity of DED. Those eyes classified as Level 2 and above were considered as severe due to the presentation of moderate-to-diffuse corneal staining and symptomatic. To assess if there is a correlation between punctum size and the severity of DED, the Spearman's rank correlation coefficient was calculated. Of the 200 Level 2 and above eyes, 131 (66%) eyes had a large punctum (≥0.5 mm). Punctum size larger than 0.4 mm was 95%. The estimated Spearman's ρ was 0.16. This indicates a statistical significant positive correlation (P = 0.02) between larger punctum size and higher level of DED. The larger size of lacrimal punctum may link to the severity of DED. Punctum inspection may be adopted to become one parameter for DED evaluation for practitioners.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=2;spage=198;epage=201;aulast=Chencollagen punctum plugdry eye diseaselacrimal systempunctum sizeteartear duct |
| spellingShingle | Ming Chen Jerris R Hedges So Yung Choi Keke Liu Szu Yuan Lin Can lacrimal punctum size link to the severity of dry eye disease? Taiwan Journal of Ophthalmology collagen punctum plug dry eye disease lacrimal system punctum size tear tear duct |
| title | Can lacrimal punctum size link to the severity of dry eye disease? |
| title_full | Can lacrimal punctum size link to the severity of dry eye disease? |
| title_fullStr | Can lacrimal punctum size link to the severity of dry eye disease? |
| title_full_unstemmed | Can lacrimal punctum size link to the severity of dry eye disease? |
| title_short | Can lacrimal punctum size link to the severity of dry eye disease? |
| title_sort | can lacrimal punctum size link to the severity of dry eye disease |
| topic | collagen punctum plug dry eye disease lacrimal system punctum size tear tear duct |
| url | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=2;spage=198;epage=201;aulast=Chen |
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