J Korean Ophthalmol Soc > Volume 54(6); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(6):845-849.
DOI: https://doi.org/10.3341/jkos.2013.54.6.845    Published online June 15, 2013.
Success Rate of Silicone Intubation Between Nasolacrimal Duct Obstruction and Stenosis According to Dacryocystography.
Ji Sang Han, In Ki Park, Jae Ho Shin
1Department of Ophthalmology, KyungHee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.
2Department of Ophthalmology, KyungHee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. pbloadsky@naver.com
눈물흘림 환자에서 눈물주머니조영술상 완전폐쇄와 부분폐쇄 간의 실리콘관 삽입술의 성공률 비교
한지상1⋅박인기1⋅신재호2
Department of Ophthalmology, KyungHee University Hospital, Kyung Hee University School of Medicine1, Seoul, Korea
Department of Ophthalmology, KyungHee University Hospital at Gangdong, Kyung Hee University School of Medicine2, Seoul, Korea
Abstract
PURPOSE
This study compares the success rate of silicone tube intubation between nasolacrimal duct obstruction and stenosis according to dacryocystographic findings. METHODS: A total of 115 patients who suffered from epiphora were divided into nasolacrimal duct obstruction and nasolacrimal duct stenosis according to dacryocystographic findings. Silicone tube intubation was performed on every patient. The success rate was estimated based on functional and anatomical success. Functional success was estimated by patient's satisfaction with 'good' or 'fair' at the last visit, and anatomical success was estimated by decrease or normalization of tear meniscus height. Surgery success was defined when anatomical and functional successes were fulfilled. RESULTS: Success rate of silicone tube intubation was 75.76% for patients with nasolacrimal duct obstruction based on dacryocystography, and 86.59% for patients with nasolacrimal duct stenosis based on dacryocystography; the difference was not statistically significant (Pearson chi-square test, p = 0.693). CONCLUSIONS: Silicone tube intubation can be considered as a primary treatment option for management of epiphora in nasolacrimal duct stenosis and obstruction.
Key Words: Dacryocystography;Nasolacrimal duct obstruction;Silicone tube intubation


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