J Korean Ophthalmol Soc > Volume 53(11); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(11):1554-1558.
DOI: https://doi.org/10.3341/jkos.2012.53.11.1554    Published online November 15, 2012.
Long Term Effect of Double Silicone Tube Intubation for Acquired Nasolacrimal Duct Obstruction.
You Ra Kim, Min Ahn
Department of Ophthalmology, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr
후천 코눈물관 막힘에서 두 가닥 실리콘관 삽입술의 장기효과
김유라⋅안 민
Department of Ophthalmology, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea
Abstract
PURPOSE
To evaluate the long term effectiveness of double silicone tube intubation in the treatment of acquired nasolacrimal duct (NLD) obstruction. METHODS: The authors treated 68 eyes of 40 patients with acquired NLD obstruction. The resolution of preoperative symptoms and signs of NLD obstruction was evaluated 18 months after the operation. RESULTS: The mean age of patients was 64.7 years and the mean follow-up period was 24.91 months. The symptoms and signs of NLD obstruction were improved in 85.29% of the patients. The partially obstructed group showed a higher success rate (89.29%) than the completely obstructed group (50.0%). A prolapse of silicone tubes to the ocular side was observed in 2 eyes, and 2 eyes had inflammatory signs after the procedure. CONCLUSIONS: Double silicone tube intubation is an effective primary therapy with NLD obstruction, especially for patiensts with simple partially obstructed NLD instead of dacryocystorhinostomy.
Key Words: Double silicone tube;Nasolacrimal duct obstruction


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