Journal of the Korean Ophthalmological Society 2004;45(6):882-886.
Published online June 1, 2004.
The Results of Endoscopic Canaliculocystodacryorhinostomy with Two Sets of Silicone Tube Intubation in Canalicular Obstruction.
Young Gun You, Hyue Sun Choi, Ji Han Ryou, Sung Joo Kim
1Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute1, Korea.
2Department of Ophthalmology, Konyang University College of Medicine, #685 Gasoowon-dong Seo-Gu Daejon, Korea. cybereyedoc@hanmail.net
눈물소관 폐쇄에서 2 개의 실리콘관을 이용한 내시경적 눈물소관코눈물주머니연결술의 임상성적
유영근 ( Young Gun You ) , 최혜선 ( Hyue Sun Choi ) , 류지한 ( Ji Han Ryou ) , 김성주 ( Sung Joo Kim )
Abstract
PURPOSE
This study evaluated the effectiveness of endoscopic canaliculodacryocystorhinostomy with two sets of silicone tube intubation in the distal part of canalicular obstruction. METHODS: Endoscopic canaliculodacryocystorhinostomy with double silicone tube intubation was done in 26 patients with canalicular obstruction from January 2002 to December 2002. Probing or trephination was used for recanaliculization of obstructed canaliculi. The silicone tube was left in place for 6 months. RESULTS: The success rate was 76.9% (20 of 26 patients) two months after tube removal. The level of canalicular obstruction or method of bougienage did not affect the success rates. Complications includes granuloma formation (12), synechia of ostium (1), prolepses of tube (2), and acute dacryocystitis(1). CONCLUSIONS: Endoscopic canaliculodacryocystorhinostomy with double silicone tube intubation showed a relatively high success rate and was more effective and convenient than conjunctivodacryocystorhinostomy with Jones tube.
Key Words: Canalicular obstruction;Canaliculodacryocystorhinostomy;Silicone tube


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