Result of Partial Nasolacrimal Duct Obstruction After Silicone Tube Intubation.

Oum, Joung Sik; Park, Joo Wan; Choi, Yeun Kyoung; Choi, Woong Chul; Chung, Yong An

Original Article

Journal of the Korean Ophthalmological Society 2004;45(11):1777-1782.
Published online November 1, 2004.

Result of Partial Nasolacrimal Duct Obstruction After Silicone Tube Intubation.

Joung Sik Oum, Joo Wan Park, Yeun Kyoung Choi, Woong Chul Choi, Yong An Chung

¹Department of Ophthalmology, The Catholic University of Korea, Seoul, Korea. cwcmc@hotmail.com
²Department of Nuclear Medicine, The Catholic University of Korea, Seoul, Korea.

누도의 불완전 폐쇄에서 실리콘관삽입술의 결과

엄정식 ( Joung Sik Oum ) , 박주완 ( Joo Wan Park ) , 최연경 ( Yeun Kyoung Choi ) , 최웅철 ( Woong Chul Choi ) , 정용안 ( Yong An Chung )

Abstract

PURPOSE
In a preliminary series of 36 eyes with partial nasolacrimal duct obstruction, the types of dacryoscintigraphy result were classified and the results of silicone tube intubation were analysed. METHODS: The results of dacryoscintigraphy, performed in 36 eyes of 29 patients with partial nasolacrimal duct obstruction, were classified into the following 3 types: pre-lacrimal sac type, proximal nasolacrimal duct type and distal nasolacrimal duct type. Punctoplasty accompanied by silicone tube intubation was conducted selectively. RESULTS: In dacryoscintigraphy, symptoms improved in 6 eyes among 6 in distal nasolacrimal duct type (100%), 14 eyes among 18 in proximal nasolacrimal duct type (77.8%) and 8 eyes among 12 in pre-lacrimal sac type (66.7%). CONCLUSIONS: We conclude that dacryoscintigraphy predicts the results of silicone tube intubation. Furthermore, silicone tube intubation was effective in proximal nasolacrimal duct type and distal nasolacrimal duct type, but less effective in pre-lacrimal sac type of partial nasolacrimal duct obstruction.

Key Words: Dacryoscintigraphy;Partial nasolacrimal duct obstruction;Silicone tube intubation