Journal of the Korean Ophthalmological Society 2001;42(4):553-557.
Published online April 1, 2001.
Monocanalicular Lacrimal Silicone Intubation for the Treatment of Pediatric Lacrimal Duct Obstruction.
Joon Young Hyon, Sang In Khwarg, Won Ryang Wee, Jin Hak Lee, Bong Leen Chang
Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
소아의 눈물기관폐쇄에서 단누소관을 통한 눈물관의 실리콘관삽입술
현준영(Joon Young Hyon),곽상인(Sang In Khwarg),장봉린(Bong Leen Chang),위원량(Won Ryang Wee),이진학(Jin Hak Lee)
Abstract
PURPOSE
To assess the clinical efficacy of monocanalicular lacrimal silicone intubation in the pediatric patients with lacrimal duct obstruction. METHODS: The medical records of 14 children with 14 eyes who underwent this procedure were reviewed retrospectively. RESULTS: Monoka(r) silicone tube was used in 3 eyes and Ritleng Self-threading Monoka(r) tube, in 11 eyes. Postoperatively, epiphora was resolved in all cases between one week and 7 months. Early postoperative extrusion of silicone tube occurred in 3 eyes(21.4%). Corneal erosion in 1 eye(7.1%), and granuloma formation in another eye(7.1%) were noticed but disappeared after removal of tubes. Removal of silicone tube was easily performed postoperatively between 3 and 7 months(mean, 4.6 months) in the clinic without sedation in all cases. CONCLUSIONS: Monocanalicular lacrimal intubation using especially Ritleng Self-threading Monoka(r) silicone tube is an easy technique for intubation and removal, and an effective method for the treatment of pediatric lacrimal duct obstruction.
Key Words: Monocanalicular silicone intubation;Pediatric lacrimal duct obstruction;Ritleng Self-threading Monoka(r) tube


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