| Surgical Effect of Canaliculodacryocystorhinostomy in Patients with Failed Conjunctivodacryocystorhinostomy. |
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Eun Ah Kim, Young Sun Yun, Sang Hyeok Lee, Wha Sun Chung |
1Department of Ophthalmology, College of Medicine, Yeungnam University, Taegu, Korea. shhlll@hanmail.net
2Department of Ophthalmology, Ulsan Dongkang Hospital, Ulsan, Korea.
3Dr. Chung's Eye Clinic, Taegu, Korea. |
| 실패한 결막눈물주머니코안연결술 환자에 실시한 눈물소관눈물주머니코안연결술의 효과 |
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김은아 ( Eun Ah Kim ) , 윤영선 ( Young Sun Yun ) , 이상혁 ( Sang Hyeok Lee ) , 정화선 ( Wha Sun Chung ) |
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| Abstract |
PURPOSE
To analyze outcomes of the canaliculodacryocystorhinostomy and the combined procedure of canaliculodacryocystorhinostomy and Jones tube reinsertion, in patients who had complications of conjunctivodacryocystorhinostomy, which required other surgical procedures. METHODS: We retrospectively analyzed the outcomes of 18 eyes (16 patients) who visited the Department of Ophthalmology, Yeungnam University Hospital for functional failures and complications of conjunctivodacryocystorhinostomy, and who underwent either the canaliculodacryocystorhinostomy or the combined procedure between February 1994 and October 2003. These patients had submerged, prolapsed, lost, or obstructed Jones tubes, with a length of patent canaliculi from the puncta of more than 7mm, identified with probing, irrigation and dacryocystography. RESULTS: Complete or significant improvement of epiphora was achieved in 83.3% (15 of 18 eyes) after a follow-up period ranging 6 to 70 months (average 28.5 months). CONCLUSIONS: Canaliculodacryocystorhinostomy and the combined procedure can be expected to achieve functional success in patients who suffer from complications of the Jones tube. We recommend these procedures in cases of common canalicular obstruction and upper and lower canalicular obstruction with a length of patency greater than 7mm. |
| Key Words:
Canaliculodaryocystorhinostomy;Combined procedure;Jones tube |
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