| Monocanalicular and Bicanalicular Intubation with Sequential Probing for Congenital Nasolacrimal Duct Obstruction in Patients Over the Age of 24 Months. |
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Jie Hyun Youm, Hwa Lee, Min Wook Jang, Se Hyun Baek, Tae Soo Lee |
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
2Department of Ophthalmology, Dongguk University, Ilsan Hospital, Goyang, Korea.
3Nune Eye Hospital, Seoul, Korea. |
| 24개월 이상 선천 코눈물관막힘 환아의 단계적 탐침술을 동반한 단, 상하누소관 실리콘관 효과 |
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염지현1⋅이 화1⋅장민욱2⋅백세현1⋅이태수3 |
Department of Ophthalmology, Korea University College of Medicine1, Seoul, Korea
Department of Ophthalmology, Dongguk University, Ilsan Hospital2, Goyang, Korea
Nune Eye Hospital3, Seoul, Korea |
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| Abstract |
PURPOSE
The clinical effectiveness of monocanalicular or bicanalicular intubation with sequential probing was evaluated in patients over the age of 24 months with congenital nasolacrimal duct obstruction. METHODS: Patients over 24 months of age with congenital nasolacrimal duct obstruction who underwent monocanalicular intubation with sequential probing (19 patients, 20 eyes) or bicanalicular intubation with sequential probing (22 patients, 22 eyes) were studied. Success rates and complications were evaluated. Silicone tube was removed 6 months after surgery. Success was defined as no epiphora and no retention on fluorescein dye disappearance test. RESULTS: The success rate was 95.0% (19 eyes / 20 eyes) in the monocanalicular intubation group and complications included 7 cases of early tube dislodgement, which achieved successful outcome. The success rate was 82.6% (19 eyes / 22 eyes) in the bicanalicular intubation group and complications included 4 cases of punctal slitting, and 3 cases of tube extrusion. The success and complication rates were not significantly different between the 2 groups (p = 0.608, p = 1.000, respectively). CONCLUSIONS: In congenital nasolacrimal duct obstruction, the monocanalicular tube intubation group had similar success and complication rates to the bicanalicular tube intubation group. Silicone tube maintenance for 2 months in the monocanalicular group and for 3 months in the bicanalicular group was sufficient. |
| Key Words:
Bicanalicular intubation;Congenital nasolacrimal duct obstruction;Monocanalicular intubation;Sequential probing |
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