The Results of Pigtail Probe Canalicullar Reconstruction Surgery with Silicone Tube and Methylcellulose. |
Sang Ho Seo, Han Ki Chang |
Department of Ophthalmology, Wallace Memorial Baptist Hospital, Pusan, Korea. |
Silicone tube 와 Methylcellulose 를 사용한 Pigtail probe 누소관 재건술의 성적 |
서상호(Sang Ho Seo),장한기(Han Ki Chang) |
|
|
Abstract |
We performed simple and successful canalicular reconstruction with smooth tip pigtail probe in 56 cases of inferior canalicular laceration. After general anesthesia or local anesthesia in inferior and superior canthal area, upper lacrimal sac area and lacerated inferior eyelid, methylcellulose mixed fluorescein was injected through the superior canaliculus under the surgical microscope with cobalt blue filter and simply found cutting end of the inferior canalicullus. Smooth tip pigtail probe was inserted and silicone stent was connected the superior and inferior canaliculi and the peri canalicular sheath was sutured with and to end anastomosis. Silicone tube was removed after postoperative 8 weeks and 86% of the patients(48/56 cases) was successful without epiphora. Smooth tip pigtail probe, methylcellulose mixed fluorescein, silicone stent, and end to end anastomosis of pericanalicular sheath under the surgical microscope would increase the success rate of pigtail probe canalicular reconstruction. |
Key Words:
Canalicullar reconstruction;Pigtail probe;Methylcellulose mixed fluorescein |