J Korean Ophthalmol Soc > Volume 50(2); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(2):177-181.
DOI: https://doi.org/10.3341/jkos.2009.50.2.177    Published online February 15, 2009.
Comparison of Clinical Efficacy Between Tie Methods of Silicone Tube Intubation in Nasolacrimal Duct Obstruction.
Young Min Park, Gi Hong Koo, Ji Eun Lee, Jong Soo Lee, Yoon Kyung Kim
1Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jongsool@pusan.ac.kr
2Department of Ophthalmic Optics, Kaya University, Kyungbuk, Korea.
실리콘관 삽입술에서 관의 고정을 위한 실리콘 시트와 봉합사 사용의 임상적 효과 비교
박영민1ㆍ구기홍1ㆍ이지은1ㆍ이종수1ㆍ김윤경2
Department of Ophthalmology, College of Medicine, Pusan National University1, Pusan, Korea / Department of Ophthalmic Optics, Kaya University2, Kyungbuk, Korea
Abstract
PURPOSE
To compare the clinical outcome of silicone tube intubation according to the tie methods. METHODS: Eighty-eight eyes of 87 patients who underwent silicone tube intubation were divided into two groups based on the tie method: a silicone silastic sheet group (Group 1, n=59) and a nylon 6-0 suture knot group (Group 2, n=29). The two groups were compared according to their success rates, recurrence rates and complications. RESULTS: No significant difference was found in the success rate between the two groups (83.0% in Group 1 and 82.7% in Group 2). However, Group 2 showed a significantly higher rate of postoperative complications than Group 1. In Group 1, 5/59 (8.4%) eyes had ocular irritation, 2/59 (3.4%) eyes exhibited tube prolapse, conjunctivitis, corneal erosion, and dacryocystitis and 1/69 (1.6%) eyes had a punctal slit after intubation. In Group 2, 3/29 (10.3%) eyes had ocular irritation, 2/29 (6.9%) eyes exhibited tube prolapse, conjunctivitis, a punctal slit, and dacryocystitis, and 1/29 (3.4%) eyes showed corneal erosion, or a granuloma after intubation. A recurrence of symptomatic tearing was found in 6/59 (10%) eyes in Group 1 and 3/29 (10%) in Group 2. CONCLUSIONS: In silicone tube intubation of incomplete NLD obstruction, the usage of silicone silastic sheets to tie both ends of the silicone tube produced a lower complication rate and a higher success rate than that of the suture knot group. Lower tension on the nasolacrimal passage in the silicone silastic sheet group allows for a significantly lower rate of punctal slit development. Therefore, the method of using silicone silasitic sheets can be considered useful in the treatment of NLD obstruction.
Key Words: Nasolacrimal duct obstruction;Silicone silastic sheet;Tie method


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