Journal of the Korean Ophthalmological Society 2005;46(1):22-27.
Published online January 31, 2005.
Management of Prolapsed Silicone Tube Inserted for Treatment of Nasolacrimal Duct Obstruction.
Joon Jeong Park, Dong Su Shin, Sungpyo Hong, Kyoo Won Lee
Department of Ophthalmology, Cheil Eye Hospital Daegu, Korea. healeye@nate.com
코눈물관 막힘의 치료로 삽입된 실리콘관의 안구측 이탈시 재위치 방법
박준정,신동수,홍승표,이규원
Department of Ophthalmology, Cheil Eye Hospital Daegu, Korea
Correspondence:  Joon Jeong Park, M.D.
Abstract
PURPOSE
To introduce a new surgical management for the prolapsed silicone tube into the ocular surface which was inserted for treatment of nasolacrimal duct obstruction. METHODS: Five eyes of 179 eyes treated with silicone tube intubation for nasolacrimal duct obstruction from May to December 2003 had a prolapsed silicone tube during the follow-up period. After local anesthesia, a Ritleng probe was inserted into the nasolacrimal duct. A polypropylene thread was passed into the Ritleng probe, and after removal of the probe, the thread was tied to a prolapsed silicone tube near a punctum and was pulled through the nose. The silicone tube was repositioned in the nasolacrimal duct. RESULTS: All the prolapsed silicone tubes were successfully repositioned without any significant complications. CONCLUSIONS: It is difficult to reposition a prolapsed silicone tube after silicone tube intubation for the treatment of nasolacrimal duct obstruction. We introduced an easy and effective method to reposition the prolapsed silicone tube.
Key Words: Nasolacrimal duct obstruction;Prolapsed silicone tube;Ritleng probe


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