J Korean Ophthalmol Soc > Volume 56(7); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(7):975-979.
DOI: https://doi.org/10.3341/jkos.2015.56.7.975    Published online July 15, 2015.
The Clinical Outcome of Silicone Tube Intubation According to the Site Resistant to Lacrimal Duct Probing.
Chan Min Yang, In Ki Park
Department of Ophthalmology, Kyung Hee University Medical Center, Kyung Hee University, Seoul, Korea. ikpark@khu.ac.kr
술 전 눈물길 더듬자 검사에서 저항을 보이는 위치에 따른 실리콘관 삽입술의 치료 효과
양찬민⋅박인기
경희대학교 경희대학교병원 안과학교실
Received: 31 October 2014   • Revised: 7 February 2015   • Accepted: 20 May 2015
Abstract
PURPOSE
To evaluate clinical outcomes of silicone tube intubation according to the site of resistance to lacrimal duct probing in complete or partial nasolacrimal duct obstruction patients. METHODS: This study included 102 eyes of 72 patients who were diagnosed with complete or partial nasolacrimal duct obstruction and who underwent silicone tube intubation. According to the site of resistant to nasolacrimal duct probing, eyes were divided into proximal resistance (Group I), distal resistance (Group II) and both side resistance (Group III). The success rate was estimated based on functional (symptom relief) and anatomical (normalization of tear meniscus) success. RESULTS: The success rates in Group I, Group II, and Group III were 53.1%, 78.8%, and 27.0%, respectively, showing that Group II attained the highest success rate (Pearson chi-square test, p = 0.001). CONCLUSIONS: In cases of only distal resistance to lacrimal probing without dacryocystography, silicone tube intubation should be performed with expectation of good clinical outcomes, even if complete nasolacrimal obstruction was suspected on syringing.
Key Words: Lacrimal duct probing;Nasolacrimal duct obstruction;Syringing


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