{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T16:49:41Z","timestamp":1703436581423},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The medical treatment of dry eye disease usually follows a step-wise approach to achieve clinical improvement, ranging from non-surgical interventions with intensive lubrication to\n          permanent surgical punctal occlusion. While frequent lubrication is essential, the intense regime is often too burdensome and difficult to maintain at the required frequency. Punctal plugs\n          are an invaluable alternative approach, but also have limitations, especially in conscious children, in whom inserting and re-inserting punctum plugs in clinic can be challenging. If a\n          patient has permanent and severe dry eye disease and responded well to a trial of temporary punctal plugging, a permanent surgical solution should be considered next. Liu et al showed that a\n          more successful, yet simple technique to achieve permanent occlusion is to combine de-epithelialising the punctum and ampulla with the immediate firm apposition of the de-epithelialised\n          surface using a self-absorbable suture \u2013 with a success rate of 92% in a prospective study. This article demonstrates this technique step-by-step in an 8-year-old child with severe chronic\n          dry eye disease following proton beam therapy for orbital rhabdomyosarcoma. She underwent this procedure with excellent results.<\/jats:p>","DOI":"10.1055\/a-2179-4498","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T22:34:40Z","timestamp":1698100480000},"page":"1179-1184","source":"Crossref","is-referenced-by-count":1,"title":["A Simple Step-by-Step Guide to Permanent Punctal Occlusion with the Ophthalmic Burr and Suture Technique"],"prefix":"10.1055","volume":"240","author":[{"given":"Driton","family":"Gjukaj","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Cantonal Hospital St.\u00a0Gallen, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivanka","family":"Dacheva","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Cantonal Hospital St.\u00a0Gallen, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran Darius","family":"Hildebrand","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Cantonal Hospital St.\u00a0Gallen, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"key":"ref1","first-page":"11","article-title":"Evaluation and differential diagnosis of keratoconjunctivitis sicca","volume":"61","author":"M A Lemp","year":"2000","journal-title":"J Rheumatol Suppl"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1097\/00003226-199907000-00003","article-title":"Results of a population-based questionnaire on the symptoms and lifestyles associated with dry eye","volume":"18","author":"S Shimmura","year":"1999","journal-title":"Cornea"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"71","DOI":"10.3238\/arztebl.2015.0071","article-title":"The Pathophysiology, Diagnosis, and Treatment of Dry Eye Disease","volume":"112","author":"E M Messmer","year":"2015","journal-title":"Dtsch Arztebl Int"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"86","DOI":"10.3109\/01676830.2011.648802","article-title":"A review of the complications of lacrimal occlusion with punctal and canalicular plugs","volume":"31","author":"R Bourkiza","year":"2012","journal-title":"Orbit"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/0002-9394(89)90123-2","article-title":"A comparison of two methods of punctal occlusion","volume":"108","author":"M E Knapp","year":"1989","journal-title":"Am J Ophthalmol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1136\/bjo.86.9.1031","article-title":"Surgical punctal occlusion: a prospective study","volume":"86","author":"D Liu","year":"2002","journal-title":"Br J Ophthalmol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/j.ajo.2010.08.045","article-title":"Surgical punctal occlusion with a high heat-energy releasing cautery device for severe dry eye with recurrent punctal plug extrusion","volume":"151","author":"E Ohba","year":"2011","journal-title":"Am J Ophthalmol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1097\/IOP.0000000000000313","article-title":"Lacrimal Punctal Occlusion With Conjunctival Flap","volume":"31","author":"B Yazici","year":"2015","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/j.ajo.2005.09.028","article-title":"A technique for preventing spontaneous loss of lacrimal punctal plugs","volume":"141","author":"H Obata","year":"2006","journal-title":"Am J Ophthalmol"},{"key":"ref10","first-page":"478","article-title":"Canaliculectomy in the treatment of keratitis sicca","volume":"22","author":"A M Putterman","year":"1991","journal-title":"Ophthalmic Surg"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1016\/s0161-6420(92)31928-1","article-title":"Efficacy of laser punctal occlusion","volume":"99","author":"D R Benson","year":"1992","journal-title":"Ophthalmology"},{"key":"ref12","first-page":"560","article-title":"[New surgical methods for punctal occlusion of severe tear-deficient dry eye and its outcome]","volume":"108","author":"N Yokoi","year":"2004","journal-title":"Nippon Ganka Gakkai Zasshi"},{"key":"ref13","first-page":"53","article-title":"Treatment of dry eye by moving the lacrimal punctum to dry dock","volume":"24","author":"J Murube-del-Castillo","year":"1993","journal-title":"Ophthalmic Surg"},{"key":"ref14","first-page":"213","volume-title":"Surgical Occlusion of the Lacrimal Drainage System","author":"G Geerling","year":"2008"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2179-4498.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T22:36:44Z","timestamp":1698100604000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2179-4498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":14,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,23]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2179-4498","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}