| Results of the Cultured Nasolacrimal Polyurethane Stents (Song's stent(R)) in Nasolacrimal Duct Obstruction Treatment. |
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Jae Yeong Park, Jong Soo Lee |
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Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. jongsool@pusan.ac.kr |
| 코눈물관폐쇄 치료에서 제거된 코눈물관스텐트의 세균 배양검사 결과 |
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박재영⋅이종수 |
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부산대학교 의학전문대학원 안과학교실 |
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Received: 5 September 2014 • Revised: 15 March 2015 • Accepted: 16 May 2015 |
| Abstract |
PURPOSE
In the present study, we cultured specimens and evaluated the types of bacteria existing at the stent and their antibiotic sensitivities from removed nasolacrimal polyurethane stents (Song's stents) due to recurrent inflammation or Song's stent obstruction after placement of Song's stents without fluoroscopic guidance for the treatment of obstructed nasolacrimal ducts. METHODS: In 11 eyes of 11 patients who received Song's stent intubation to resolve nasolacrimal duct obstruction, the Song's stents were removed due to either recurred symptoms, signs of chronic dacryocystitis, or tube obstruction. Song's stents were cultured to identify bacteria and tested for their antibiotic sensitivity. RESULTS: The Song's stent removal was from 3 years 7 months to 17 years 1 month after intubation, thus the average duration was 10 years. The species of cultured bacteria were Pseudomonas in 7 eyes, Staphylococcus aureus in 2 eyes, and Stenotrophomonas maltophilia in 2 eyes. In antibiotics sensitivity tests, 5 of 7 eyes with Pseudomonas were resistant to trimethoprime/sulfamethoxazole (Bactrim(R), Roche, Basel, Switzerland) and 2 eyes with Staphylococcus aureus were resistant to penicillin. Ten eyes underwent silicone tube intubation simultaneously during Song's stent removal and 1 eye underwent Song's stent removal only. CONCLUSIONS: The most common bacteriological etiology of Song's stent obstruction or recurrent inflammation is Pseudomonas species. The use of efficient antibiotics is necessary to avoid antibiotic intolerance and simultaneous silicone tube intubation during Song's stent removal and is essential for the management of epiphora. |
| Key Words:
Antibiotics sensitivity;Bacterial culture;Chronic dacryocystitis;Song's stent |
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