Medial blepharosynechioplasty: a new surgical concept for severe dry eye.
BACKGROUND
The purpose of this work was to report on the performance of medial blepharosynechioplasty (MBSP), a newly devised technique for treating severe dry eye.


METHODS
In this retrospective, nonrandomized clinical trial, three cases with severe dry eye (Sjögren's syndrome) associated with repeated punctal plug loss were treated using MBSP to create a synechia between the upper and lower lid medial borders of the puncta to suppress the lacrimal pump.


RESULTS
Postoperative follow-up showed improvement in the corneal condition in all three cases that persisted for 12-35 months. None of the patients had visual impairment.


CONCLUSIONS
MBSP is a promising treatment for severe dry eye and merits further study.
Department of Ophthalmology, Kanazawa University School of Medicine, Kanazawa, Ishikawa.
Tsugihisa
T
Sasaki
Taeko
T
Ota
Youko
Y
Ookura
Kazuhisa
K
Sugiyama