Treatment of Common Canalicular Obstruction Using Lacrimal Trephine.

Park, Beung Sup; Jang, Jae Woo; Byon, Do Seok

Original Article

Journal of the Korean Ophthalmological Society 1998;39(6):1077-1081.
Published online June 1, 1998.

Treatment of Common Canalicular Obstruction Using Lacrimal Trephine.

Beung Sup Park, Jae Woo Jang, Do Seok Byon

Department of Ophthalmology, College of Medicine, Inha University Hospital, Inchon, Korea.

Lacrimal trephine 을 이용한 총누소관 폐쇄의 치료

박병섭(Beung Sup Park),장재우(Jae Woo Jang),변도석(Do Seok Byon)

Abstract

Conjunctivodacryocystorhinostom.y using Jones tube has been the treatment of choice for patients with epiphora due to common canalicular obstruction. But this procedure carries a lot of disadvantages including external scar formation and many complications result from general anesthesia, and necessity of permanent prosthesis and long-term follow-up. So authors have used a new instrument, the lacrimal trephine designed for creating an opening through 8 distally occluded lacrimal canaliculus to treat the common canalicular obstruction. From June 1996 to December 1996, we performed 8 lacrirnal trephination with silicone tube insertion in five patients diagnosed as common canalicu-lar obstruction. All of them have achieved the anatomical success and four of thein have shown clinical success.

Key Words: Common canalicular obstruction;Conjunctivodacryocystorhinostomy;Epiphora;Jones tube;Lacrimal trephine