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Conjunctival Fixation Sutures for Refractory Superior Limbic Keratoconjunctivitis
  1. Masakazu Yamada (yamadamasakazu{at}kankakuki.go.jp),
  2. Shin Hatou (hatoushin{at}kankakuki.go.jp),
  3. Hiroshi Mochizuki (mochizukih{at}s08.itscom.net)
  1. National Tokyo Medical Center, Japan
  2. National Institute of Sensory Organs, National Tokyo Medical Center, Japan
  3. National Institute of Sensory Organs, National Tokyo Medical Center, Japan

    Abstract

    Case Report: A 75-year-old Japanese woman was referred to us for persistent irritation in September 2006. She reported a history of foreign body sensation in the left eye for 4 years. Slit lamp examination revealed hypertrophy, hyperemia, and pronounced fluorescein staining of the superior bulbar conjunctiva in the left eye (Figure 1-A, B). Schrimer's test results were 2 mm in the right eye and 1 mm in the left eye. The diagnosis of SLK with aqueous deficiency dry eye was made based on these findings. Initially, treatment was attempted with 0.1% fluorometholone and 0.1% sodium hyaluronate eyedrops without success. Punctal plugs inserted to the upper and the lower puncta provided little symptomatic relief.

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