Effect of topical steroids on recently developed incomplete nasolacrimal duct obstruction: optical coherence tomography study

Purpose To evaluate the effect of a topical steroid instillation on recently developed incomplete nasolacrimal duct obstruction (NLDO) evaluated by using anterior segment optical coherence tomography (ASOCT). Methods Forty-nine eyes of 31 patients with incomplete NLDO who developed epiphora within 3...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2019-10, Vol.257 (10), p.2315-2322
Main Authors: Yang, Min Kyu, Kim, Namju, Choung, Ho-Kyung, In Khwarg, Sang
Format: Article
Language:English
Subjects:
Administration, Topical
Dexamethasone - administration & dosage
Dose-Response Relationship, Drug
Female
Fluorescein
Follow-Up Studies
Glucocorticoids - administration & dosage
Humans
Lacrimal Duct Obstruction - diagnosis
Lacrimal Duct Obstruction - drug therapy
Lacrimal gland and Nasolacrimal duct
Male
Medicine
Medicine & Public Health
Meniscus
Middle Aged
Nasolacrimal Duct - diagnostic imaging
Oculoplastics and Orbit
Ophthalmology
Prospective Studies
Slit Lamp Microscopy
Steroid hormones
Time Factors
Tomography
Tomography, Optical Coherence - methods
Treatment Outcome
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Summary:Purpose To evaluate the effect of a topical steroid instillation on recently developed incomplete nasolacrimal duct obstruction (NLDO) evaluated by using anterior segment optical coherence tomography (ASOCT). Methods Forty-nine eyes of 31 patients with incomplete NLDO who developed epiphora within 3 months were recruited and treated with a topical steroid for 3 months. Tear meniscus height (TMH) and area (TMA) were measured by ASOCT. The treatment was considered to be effective when there was improvement of subjective epiphora, normal tear meniscus on slit lamp examination, a fluorescein dye disappearance test with grade 0 or 1, and TMH 
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-019-04392-1