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Severe Dry Eye? Try a New Surgical Procedure

Severe Dry Eye? Try a New Surgical Procedure

If you have tried everything for your dry eye and are experiencing constant and debilitating pain, then a new surgical procedure could be your answer.  This is for someone who has tried steroid eye drops, Restasis drops, autologous serum drops, scleral contact lenses, punctual plug occlusion, and everything else.

Autologous Salivary Gland Transplantation (ASGT) is a surgical option for dry eye that involves removing a salivary gland (from glands in the mouth that produce saliva) and relocating it to the upper eyelid to release saliva onto the ocular surface.  

In a study by Jacobsen, 53% of patients reported satisfaction five years post-surgery, while 13% were indifferent and about 33% were dissatisfied. 

Complications of ASGT include swelling of the front of the eye and initial loss of tear production.

There is very limited research on this procedure because it is limited to patients with severe dry eye that have exhausted all their options.  Let us know what your thoughts are on this newer procedure. Would you try it?

One Love,

 Dr. Travis Zigler, Eye Love

Dr. Travis Zigler

Other Dry Eye articles by Dr. Zigler: 4 Tips to Stop Waking Up With Dry, Painful EyesWhich Antidepressants Cause Dry EyeFish Oil for Fighting Dry Eye Inflammation; and What Not To Eat If You Have Dry Eye

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Comments

Jenna Zigler on June 23 2017 at 12:41PM

Hey Kathy – Salivary gland “tears” have a lower osmolarity and contain different concentrations of nutrients, enzymes, and proteins which could benefit dry eye. We do not know anyone who consistently performs this since it is very new and still being tested. It will not be covered by insurance, at least anytime soon.

Kathy Holland on June 22 2017 at 11:18AM

If it doesn’t produce oil, how does it help? Is it paid for by insurance? Where do I go to have it done? How much does it cost?

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