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Application of new Japanese version of diagnostic criteria for dry eye to essential blepharospasm Masato Wakakura 1 , Jiro Inouye 1 1Inouye Eye Hosp pp.857-860
Published Date 2008/6/15
DOI https://doi.org/10.11477/mf.1410102266
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Abstract. Purpose:To report the applicability of 2006 version of diagnostic criteria for dry eye to essential blepharospasm. Cases:This study was made on 130 eyes of 65 patients with essential blepharospasm. The series comprised 14 males and 51 females. The age ranged from 40 to 82 years, average 63 years. Twenty-four patients had received no treatment. The other 41 patients had been treated by botulinum toxin more than 2 months before. Results:All the cases had subjective symptoms suggesting ocular surface disorders with photophobia as the most frequent complaint. Before consulting us, 45 patients(69%)had been treated under the diagnosis of dry eye with no effect. In the present series, 27 eyes(21%)were positive by showing 5mm or less by Schirmer I test. Tear break-up time was less than 5sec in 75 eyes(58%). These findings were independent on the history of treatment with botulinum toxin. Fluorescein staining score was 3 or over in 39 eyes(30%). When the 130 eyes in the present series were evaluated by the new diagnostic criteria, 32 eyes(25%)were judged as definite dry eye and 51 eyes(39%)as dry eye suspect. Conclusion:According to the new diagnostic criteria for dry eye, numerous patients of blepharospasm are diagnosed with dry eye, resulting in improper treatments. It is recommended that blepharospasm be excluded from the diagnostic criteria for dry eye.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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