PMC3437954_01
Slit lamp with fluorescence at the patient's first visit.. Notes: Dense erosion of both cornea and conjunctival surfaces did not resolve with any topical drugs and punctal plugs. Tear meniscus height was very low and the tear breakup was 1-2 seconds because of ocular inflammation due to severe dry eye.
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The corneal and conjunctival surfaces were filled with dense erosions, which did not improve with topical artificial tears, hyaluronic acid, or antibiotic ointment (Figure 1).
Slit lamp 6 months after surgical punctal occlusion.. Notes: Tear meniscus height increased, and erosion on the ocular surface improved. However, erosion on the lower part of the cornea remained.
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However, the erosion in the inferior cornea of both eyes had not improved 6 months after the operation in spite of using topical hyaluronic acid, ointment, and artificial tears (Figure 2).
Four weeks after topical administration of rebamipide, the corneal erosion was completely resolved and the tears were clear without any debris or other evidence of inflammation.. Note: Tear breakup time was prolonged to normal ranges.
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The tear breakup time in both eyes increased to 8-10 seconds, and was within a normal range (Figure 3).