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hi ive read about this treatment before but i just found this place in belgium which does it:
Has anyone had this surgery? any thoughts?
miro center belgium: http://brightsites.biz/miro/index.ph...d=15&Itemid=29
http://www.articlesphere.com/Article...Dry-Eyes/91798
Has anyone had this surgery? any thoughts?
miro center belgium: http://brightsites.biz/miro/index.ph...d=15&Itemid=29
Dry eye treatment E-mail
Severe dry eye is an important and common problem.
Although many different types of artificial tears, gels and ointments are available, frequent eye drop instillations sometimes offer only temporary or partial relief of symptoms.
Transplantation of labial salivary glands from the lower lip can be a more fundamental solution in cases that are resistant to other therapy. These glands are easily accessible, and their secretion product is very similar to natural tears.
Of course surgery is not the treatment of first choice, even for patients with very dry eyes.
I always use the same protocol :
Therapy begins with artificial tears .
- If results are insufficient, therapy is changed to administration of gel during the day and eventually ointment at night.
- If this therapy does not give satisfactory results, I close the opening of the tear drain in the lower eyelid with special inserts called punctal plugs . These silicone plugs trap the tears on the eye, keeping it moist. This may be done on a temporary basis because the plugs can easily be taken out if needed. Additionally, the tear drain in the upper lid can be cut to further limit the evacuation of the tears.
- If problems persist, surgery is proposed as possible therapy.
Surgery
Patients reporting dry mouth are excluded from surgery or asked to undergo a biopsy of the mucosa of the lower lip to evaluate the quality of the labial salivary glands
All surgery is performed under general anesthesia; before making an appointment patients are checked by their physician to rule out any contraindication for the general anaesthesia.
The mucosal graft with salivary glands is taken from the lower lip.
This wound heals spontaneously and does not need to be sutured.
The specimen is transplanted to the inner side of the upper and/or lower eyelid (fig.)
For all surgery I use Radiosurgery because it has proven to result in less bleeding, faster recovery and only minimal damaging of the delicate glandular structures to be transplanted.
The eye is patched and checked on days 2,5 and 7after surgery.
The second week the eye is left without a bandage and the sutures are taken out after 2 weeks
Severe dry eye is an important and common problem.
Although many different types of artificial tears, gels and ointments are available, frequent eye drop instillations sometimes offer only temporary or partial relief of symptoms.
Transplantation of labial salivary glands from the lower lip can be a more fundamental solution in cases that are resistant to other therapy. These glands are easily accessible, and their secretion product is very similar to natural tears.
Of course surgery is not the treatment of first choice, even for patients with very dry eyes.
I always use the same protocol :
Therapy begins with artificial tears .
- If results are insufficient, therapy is changed to administration of gel during the day and eventually ointment at night.
- If this therapy does not give satisfactory results, I close the opening of the tear drain in the lower eyelid with special inserts called punctal plugs . These silicone plugs trap the tears on the eye, keeping it moist. This may be done on a temporary basis because the plugs can easily be taken out if needed. Additionally, the tear drain in the upper lid can be cut to further limit the evacuation of the tears.
- If problems persist, surgery is proposed as possible therapy.
Surgery
Patients reporting dry mouth are excluded from surgery or asked to undergo a biopsy of the mucosa of the lower lip to evaluate the quality of the labial salivary glands
All surgery is performed under general anesthesia; before making an appointment patients are checked by their physician to rule out any contraindication for the general anaesthesia.
The mucosal graft with salivary glands is taken from the lower lip.
This wound heals spontaneously and does not need to be sutured.
The specimen is transplanted to the inner side of the upper and/or lower eyelid (fig.)
For all surgery I use Radiosurgery because it has proven to result in less bleeding, faster recovery and only minimal damaging of the delicate glandular structures to be transplanted.
The eye is patched and checked on days 2,5 and 7after surgery.
The second week the eye is left without a bandage and the sutures are taken out after 2 weeks
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