Journal of the Korean Ophthalmological Society 2003;44(7):1475-1482.
Published online July 1, 2003.
Classification of Nasolacrimal Duct Obstruction According to Dacryocystographic Finding and Its Clinical Ssignificance.
Ho Sun Lee, Helen Lew, Young Soo Yun
Department of Ophthalmology, Bundang CHA Hospital, Pochun CHA University College of Medicine, Sungnam, Korea. eye@cha.ac.kr
누낭조영술에 따른 비루관 폐쇄의 분류와 임상적 의의
이호선 ( Ho Sun Lee ) , 유혜린 ( He Len Lew ) , 윤영수 ( Young Soo Yun )
Abstract
PURPOSE
The purpose of this study is to analyze the various forms of nasolacrimal duct obstruction in patients after they took dacryocystography and to find out the relations between the dacryocystographic finding and the results of the treatment. METHODS: From March 2001 to April 2002, 48 patients out of 53 cases who suffered from epipora were diagnosed to have nasolacrimal duct obstruction. The nasolacrimal duct obstruction was classified complete obstruction and partial obstruction that was divided into regular inner surface, irregular inner surface and secondary dilatation. Dacryocystorhinostomy was performed on the patients with complete obstruction and the others with partial obstruction got silicone tube intubation according to the dacryocystography. Success rate that was estimated as patient's satisfaction(0-3) was compared, and success was defined as score 1 or more. RESULTS: The Numbers of complete obstruction and partial obstruction were 25 and 28 respectively. As for the patients with partial obstruction, patients with regular inner surface(2.43+/-0.93) showed better statistical(P=0.00) results than those who had irregular inner surface(1.75+/-1.28) or secondary dilatation(1.00+/-0.89). However, the location of the obstruction was insignificant in the course of treatment. CONCLUSIONS: Dacryocystorhinostomy is preferred to silicone tube intubation in nasolacrimal duct obstruction patients. It is more appropriate to conduct dacryocrystorhinostomy on patients who have secondary nasolacrimal duct dilatation due to nasolacrimal duct obstruction on dacryocystography.
Key Words: Dacryocystography;Dacryocystorhinostomy;Silicone tube intubation


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