Comparison between autologous serum eye drops and punctal occlusion for treatment of dry eye syndrome

Abstract

Background: Dried cornea condition characterized with mispreception regarding eye coat because of slit insufficiency otherwise unreasonable vanishing that makes harm to dried surfaces also visual shell which related to manifestations regarding visual inconvenience.
Purpose: Comparing efficiency and safety of AS eye drops and Punctal occlusion for management of dry eye syndrome.
Patients and Methods: A prospective study was conducted in, (Al-Hussein and Bab-Elsheryia hospitals), a sum of 40 eyes of 40 patients suffering from Dry eye (24 males, 16 females) were recruited in this study. The first group contain 20 eyes that undergo AS eye drops. The 2nd group contain 20 eyes that undergo Punctal occlusion.
Results: The visual acuity in the first group before treatment was 3.5/9.3 ± 1.91/9.2 (mean ± standard deviation) and after treatment in the second visit was 5.25/10 ± 3.75/10 (P < 0.01) with standard improvement 2 Snellen lines. In the second group visual acuity before treatment was 2.85/9.1 ± 2.04/9.2 and after treatment in the second visit was 4.65/9.2 ± 4.37/10, the normal increase is 3 visual letters. The VA become better in both groups Conclusion: In summary, both two methods of management have similar efficiency in reducing discomfortable sensation in dry eyes, and almost have equivalent and improve in subjective symptoms. Punctual occlusion shows many benefits in conserving natural tears and enhancing tear quality and seemed to be better on tear film stabilization. AS eye drops and punctual occlusion improved BCVA