Journal of the Korean Ophthalmological Society 2005;46(1):16-21.
Published online January 31, 2005.
Silicone Intubation and Postoperative Mitomycin Application for Partial Nasolacrimal Duct Obstruction in Adults.
Byeong Yong Song, Jae Duck Kim, Sangduck Kim
Department of Ophthalmology, Wonkwang University College of Medicine Wonkwang Medical Science, Iksan, Korea. sangduck@wonkwang.ac.kr
성인 코눈물관부분폐쇄에서 실리콘관삽입 후 마이토마이신 점안
송병용,김재덕,김상덕
Department of Ophthalmology, Wonkwang University College of Medicine Wonkwang Medical Science, Iksan, Korea
Correspondence:  Byeong Yong Song
Abstract
PURPOSE
This study nasolacrimal duct (NLD) stenosis in adult, evaluated the clinical results of treatment with topical 0.04% mitomycin C (MMC) eyedrops after silicone tube intubation. METHODS: Prospectively, we analysed the clinical results from 29 eyes of 25 adult patients with epiphora due to NLD stenosis who underwent this procedure. RESULTS: The mean follow-up periods was 9.3 months. Twenty-two eyes (76%) showed no epiphora and complete passing into the cavity by lacrimal irrigation. Four eyes (13.7%) showed intermittent epiphora but improvement relative to preoperative state. Three eyes (10.3%) showed persistent epiphora and no improvement. In total, 26 eyes (89%) showed improvement of symptoms. Complications were silicone tube prolapse in 5 eyes (17.2%) and dacryocystitis in 2 (6.9%) CONCLUSIONS: Silicone tube intubation with topical MMC eyedrops for treatment of patients with tearing due to NLD stenosis is effective, safe and easy. This technique can be tried before DCR if the surgeon has a thorough of nasal cavity anatomy and probing.
Key Words: Mitomycin-C;Partial nasolacrimal duct obstruction;Silicone tube intubation


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