Effects of Double Silicone Tube Intubation for Nasolacrimal Duct Obstruction in Adults. |
Joon Jeong Park, Dong Su Shin, Sung Pyo Hong, Kyoo Won Lee |
Department of Ophthalmology, Cheil Eye Hospital, Daegu, Korea. healeye@nate.com |
성인의 코눈물관 막힘에서 두 가닥의 실리콘관 삽입술의 효과 |
박준정,신동수,홍승표,이규원 |
Department of Ophthalmology, Cheil Eye Hospital, Daegu, Korea |
Correspondence:
Joon-Jeong Park, M.D. |
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Abstract |
PURPOSE To evaluate the effectiveness of double silicone tube intubation in the treatment of nasolacrimal duct (NLD) obstruction in adults. METHODS: We treated 159 eyes of 159 patients with NLD obstruction. The resolution of preoperative symptoms and signs of NLD obstruction was evaluated two months after the removal of the silicone tubes. RESULTS: The mean age of patients was 57.9 years and the mean follow-up period was 8.5 months. The symptoms and signs of NLD obstruction were reduced in 85.6% of the patients. The partially obstructed group showed a higher lacrimal patency rate (93.0%) than the completely obstructed NLD group (82.7%). There was no discomfort due to the double silicone tubes. There was a punctal slit in 13 eyes, prolapse of silicone tubes to ocular side in 5 eyes and 3 eyes had punctum to punctum adhesion after the procedure. CONCLUSIONS: Double silicone tube intubation is an effective therapy in adults with NLD obstruction, especially for those with partially obstructed NLD. Indications were seen that these tubes keep greater dilatation of the NLD. |
Key Words:
Double silicone tube intubation;Double silicone tubes;Nasolacrimal duct obstruction |
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