Title
Topical Cyclosporine-A for Management of Epiphora
Topical Cyclosporine-A for Management of Epiphora in Eyes With Acquired Punctal Stenosis
Phase
Phase 2/Phase 3Lead Sponsor
Farwaniya HospitalStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
EpiphoraIntervention/Treatment
topical 0.05% CsA (Restasis®, Allergan Inc, Irvine, California)twice daily dose,Study Participants
12to investigate the clinical outcomes and tolerances of Cyclosporine A (CsA) in treating epiphora in eyes with acquired punctum stenosis
a prospective study included patients who were referred to our outpatient clinics in Farwanyia hospital, Kuwait during the period between July 2019 and January 2020, having symptomatic epiphora associated with severe acquired lower punctal stenosis. Patients were treated with topical 0.05% CsA on twice daily dose with topical preservative free artificial tears Q.I. D. Patients were followed up monthly for at least 3 months by epiphora grading, Fluorescein dye disappearance test (FDT) and evaluating the patient satisfaction
topical preservative free artificial tears Q.I. D.
All patients were treated with topical 0.05% CsA (Restasis®, Allergan Inc, Irvine, California) on twice daily dose, in addition to the topical preservative free artificial tears Q.I. D.
Inclusion Criteria: Adult patients of either sex had a diagnosis of epiphora that persisted more than three months both indoors and outdoors grade 0 punctal stenosis did not adequately respond to artificial tears, topical corticosteroids and topical antibiotics or in whom corticosteroids were discontinued due to their side effects. Exclusion Criteria: congenital punctal obstruction edematous puncti allergic conjunctivitis history of dacryocystitis, inflammatory systemic diseases any previous chemotherapy treatment, and local irradiation. other causes of epiphora, lid laxity, entropion, and ectropion lid malposition, canalicular or nasolacrimal sac or duct obstruction previous eyelid or lacrimal drainage surgery untreated conjunctivitis or blepharitis