■为了报告科威特三级转诊中心获得性有症状的外部泪点狭窄(EPS)的患病率,并研究相关的危险因素,病因,和管理成果。
这项基于前瞻性介入医院的研究于2018年11月至2019年11月在科威特的Farwaniya政府医院进行。所有患者都被转诊到眼增生诊所,年龄>18岁,泪液Munk评分≥0,泪膜半月板≥2mm,和≤2级的泪点(小于正常尺寸,但可识别)被包括在内。排除标准是先天原因导致的溢唇,以前的眼睑手术,以及泪点或小管阻塞的创伤性或肿瘤性原因。
■共有418例有症状的溢唇患者,他们被转介到我们的眼病诊所,参加了我们的研究。EPS的患病率为70.3%。标点符号的凹陷显示出不同的形状,包括切向,精确定位,升高,狭缝形,马鞋形,和膜状的泪点,切向类型占比最大(65.3%)。双侧泪点狭窄206例(70.1%),单侧受累88例(29.9%)。诊断后对所有标点进行扩张和注射,对225个puncta进行了重复扩张(32.7%)。Mini-Monoka管的放置在11个puncta(1.6%)中进行。
■在我们的研究中,EPS是一种常见的症状性出泪原因。年龄和女性性别被确定为常见的危险因素。EPS的大多数病因与病理生理炎症机制有关。为了准确估计其患病率,未来有必要进行基于人群的研究。
UNASSIGNED: To report the prevalence of acquired symptomatic external punctal stenosis (EPS) in a tertiary referral center in Kuwait, and to
study the associated risk factors, etiologies, and management outcomes.
UNASSIGNED: This prospective interventional hospital-based
study was performed at the Farwaniya governmental hospital in Kuwait between November 2018 and November 2019. All patients were referred to the oculoplastic clinic with symptomatic epiphora, age > 18 years, epiphora Munk score ≥ 0, tear film meniscus ≥ 2 mm, and punctum with grade ≤ 2 (smaller than normal size, but recognizable) were included. Eclusion criteria were congenital causes of epiphora, previous eyelid surgeries, and traumatic or neoplastic causes of punctal or canalicular obstruction.
UNASSIGNED: A total of 418 patients with symptomatic epiphora, who were referred to our oculoplastic clinic, were enrolled in our
study. The prevalence of EPS was 70.3%. Eamination of the puncta revealed different shapes, including tangential, pinpoint, elevated, slit-shaped, horse shoe-shaped, and membranous puncta, with the tangential type accounting for the greatest proportion (65.3%). Bilateral punctal stenosis was observed in 206 patients (70.1%) and unilateral involvement in 88 patients (29.9%). Dilatation and syringing were performed for all puncta upon diagnosis, and repeated dilatation was performed for 225 puncta (32.7%). Placement of a Mini-Monoka tube was performed in 11 puncta (1.6%).
UNASSIGNED: EPS was a common cause of symptomatic epiphora in our
study. Aging and female sex were identified as common risk factors. Most etiological factors of EPS were associated with a pathophysiological inflammatory mechanism. For exact estimates of its prevalence, a population-based
study is necessary in future.