J Korean Ophthalmol Soc > Volume 59(5); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(5):393-396.
DOI: https://doi.org/10.3341/jkos.2018.59.5.393    Published online May 15, 2018.
The Clinical Outcomes of Early Silicone Tube Displacement in Congenital Nasolacrimal Duct Obstruction.
Joseph Kim, Sung Mo Kang
Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea. ksm0724@inha.ac.kr
선천코눈물관막힘 환아에서 실리콘관 조기 이탈의 임상 결과
김요셉⋅강성모
인하대학교 의과대학 안과학교실
Correspondence:  Sung Mo Kang,
Email: ksm0724@inha.ac.kr
Received: 4 January 2018   • Revised: 21 March 2018   • Accepted: 27 April 2018
Abstract
PURPOSE
To investigate the surgical results of early silicone tube displacement in congenital nasolacrimal duct obstruction. METHODS: A total of 40 eyes from 27 children who received silicone tube intubation with sequential probing under intranasal endoscopic guidance were enrolled in this retrospective study. The silicone tube was intended to be removed after 3 months, and was defined as early displacement if the tube was removed within 2/3 of the planned tube retention time. Success was defined as the absence of persistent epiphora for at least a 1-year follow-up period. Using Fisher's exact test, the success rate of patients with and without early tube displacement was compared for a statistical difference. RESULTS: Overall, 95% (38/40) of eyes were treated successfully; they were not affected by early tube displacement (p=0.154). Early displacement occurred in 40% (16/40) of eyes: 12% (2) within 7 days, 44% (7) within 8–14 days, 19% (3) within 15–30 days, and 25% (4) after 31 days. CONCLUSIONS: In congenital nasolacrimal duct obstruction, early silicone tube displacement did not affect the clinical outcome of silicone tube intubation. Therefore, endoscopic-guided silicone tube intubation with sequential probing may provide a high functional success rate although early tube displacement occurs in young children.
Key Words: Congenital nasolacrimal duct obstruction;Early silicone tube displacement;Silicone tube intubation


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