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مقاله
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Abstract
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Title:
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Lacrimal Drainage System Obstruction in Subjects with Acquired Anophthalmic Socket, A Double Masked Case Control Study
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Author(s):
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Mohsen Bahmani Kashkouli, Roya Zolfaghari, Anahita Amirsardari, Mohammad Bagher Abtahi, Nasser Karimi, Mohammadreza Aghamirsalim
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Mohsen Bahmani Kashkouli
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Affiliation :(optional)
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Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences
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E mail:
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mkashkouli2@gmail.com
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Phone:
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88090456
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Mobile:
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09121777003
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Purpose:
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To compare the results of lacrimal drainage system (LDS) tests between acquired anophthalmic socket (AS) and normal eyes of the same subjects.
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Methods:
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Included were acquired anophthalmic socket (2013-2014) of more than 6 years of age. Excluded were eyelid/ lacrimal drainage system (LDS) surgery, abnormality of eyelid/ LDS and contracted socket of any severity. Eyelid examination, and dye disappearance test (DDT) were performed by a masked observer. Irrigation test and interpretation of lacrimal scintigraphy were performed by another masked observer. LDS obstruction (LDSO) was defined as partial and complete obstruction of any part of LDS.
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Results:
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Included were 50 patients with a mean age of 31.3 years and mean time of wearing artificial eye of 96.1 months. Lagophthalmos was observed in 40 (80%) and lower eyelid laxity in 23 (46%) of AS and none of normal eyes. AS side showed significantly (P<0.001) more positive DDT, LDSO on scintigraphy, and LDSO on irrigation than the normal side. AS with lower eyelid laxity showed a significantly (0.01) more positive DDT (100% vs. 22.2%). No other variables had significant impact.
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Conclusion:
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Subjects with acquired anophthalmic socket are suffering from a significantly more than normal rate of both anatomical and physiological obstruction of LDS.
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Attachment:
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