Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Parotid Duct Transposition in Xerophthalmia: Report of a Case

Parotid Duct Transposition in Xerophthalmia: Report of a Case Abstract THE treatment of xerophthalmia has posed a difficult problem of management for the ophthalmologist. This condition may follow as the incapacitating sequela of Stevens-Johnson syndrome, trachoma, exfoliative dermatitis, or ocular pemphigus. Manifestations of the disease include severe, necrotizing conjunctivitis with corneal ulceration and secondary iritis, followed by widespread conjunctival and corneal scarring. Photophobia and blepharospasm may be profound. The final picture is characterized by lacrimal deficiency, epidermalization of the lining of the eye with more or less extensive symblepharon and severe visual impairment. The usual conservative therapeutic measures consist of instillation of artificial tears, administration of vitamin A and the use of a moist chamber. Unfortunately, these efforts often prove unsatisfactory, requiring utilization of more radical measures. Tarsorrhaphy can be employed with effective temporary improvement. Occlusion of the lacrimal puncta has also been suggested. Transplantation of various tissues into the conjunctiva such as oral mucosa and placenta1 have been References 1. Agarwal, L.P.: Tissue Therapy in Parenchymatous Xerosis , Brit J Ophthal 37:102-105, 1953.Crossref 2. Bennett, J.E., and Bailey, A.L.: A Surgical Approach to Total Xerophthalmia , Arch Ophthal 58: 367, 1957.Crossref 3. Lao, Y.S.: Transplantation of Parotid Duct Into the Conjunctival Sac for the Treatment of Xerophthalmia With Report of a Case , Chinese Med J 73:223-229, 1955. 4. Katsnelson, A.B.: Surgical Treatment for Xerophthalmia , Chinese J Ophthal 6:474-477, 1954. 5. Ashley, F.L., et al: Amer Surg 25:815-818, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Parotid Duct Transposition in Xerophthalmia: Report of a Case

Download PDF
4 pages

Loading next page...
 
/lp/american-medical-association/parotid-duct-transposition-in-xerophthalmia-report-of-a-case-jo09brdjRT

References (5)

Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1969.00770020663019
Publisher site
See Article on Publisher Site

Abstract

Abstract THE treatment of xerophthalmia has posed a difficult problem of management for the ophthalmologist. This condition may follow as the incapacitating sequela of Stevens-Johnson syndrome, trachoma, exfoliative dermatitis, or ocular pemphigus. Manifestations of the disease include severe, necrotizing conjunctivitis with corneal ulceration and secondary iritis, followed by widespread conjunctival and corneal scarring. Photophobia and blepharospasm may be profound. The final picture is characterized by lacrimal deficiency, epidermalization of the lining of the eye with more or less extensive symblepharon and severe visual impairment. The usual conservative therapeutic measures consist of instillation of artificial tears, administration of vitamin A and the use of a moist chamber. Unfortunately, these efforts often prove unsatisfactory, requiring utilization of more radical measures. Tarsorrhaphy can be employed with effective temporary improvement. Occlusion of the lacrimal puncta has also been suggested. Transplantation of various tissues into the conjunctiva such as oral mucosa and placenta1 have been References 1. Agarwal, L.P.: Tissue Therapy in Parenchymatous Xerosis , Brit J Ophthal 37:102-105, 1953.Crossref 2. Bennett, J.E., and Bailey, A.L.: A Surgical Approach to Total Xerophthalmia , Arch Ophthal 58: 367, 1957.Crossref 3. Lao, Y.S.: Transplantation of Parotid Duct Into the Conjunctival Sac for the Treatment of Xerophthalmia With Report of a Case , Chinese Med J 73:223-229, 1955. 4. Katsnelson, A.B.: Surgical Treatment for Xerophthalmia , Chinese J Ophthal 6:474-477, 1954. 5. Ashley, F.L., et al: Amer Surg 25:815-818, 1959.

Journal

Archives of Otolaryngology – American Medical Association

Published: Apr 1, 1969

There are no references for this article.