Reconstruction of the Lacrimal Canaliculus.

Han, Bang Yeon; Sohn, Moo Shik

Original Article

Journal of the Korean Ophthalmological Society 1976;17(1):71-76.
Published online January 1, 1976.

Reconstruction of the Lacrimal Canaliculus.

Bang Yeon Han, Moo Shik Sohn

Department of Ophthalmology, College of Medicine, Korea Universlty, Seoul, Korea.

누소관 (淚小管) 복구술

한방연 , 손무식 ( Bang Yeon Han , Moo Shik Sohn )

Abstract

From September 1973 to October 1975, author had experienced two cases of congenital canaliculus atresia and eight of traumatic canalicus lacerations, and repaired them by means of the Pigtail probe of Worst inserted through a polyethylene tube (size of which being 46, I.D. 016" O.D. 031"). The length of time to leave the polyethylene tube in place had been six to eight weeks. Z plasty was performed to prevent cicatrical contraction of the lower lid. Two cases of congenital canaliculus atresia became reobstructed two weeks after removal of the tube which were accidentally slipped out. In a single case in which Z pIasty was not performed, the patient continued to complain of lacrimation due to cicatrical contraction in the lower lid margin medial to the punctum. The canaliculus, however, demonstrated the patency as evidenced by nasal drainage of fluid syringed into the punctum.