Medial blepharosynechioplasty: A new surgical concept for severe dry eye

Abstract

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. Conclusion: MBSP is a promising treatment for severe dry eye and merits further study. © 2012 Sasaki et al, publisher and licensee Dove Medical Press Ltd.