J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(8):1193-1198.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1193    Published online August 15, 2016.
Comparison of Results and Complications between 0.64 mm and 0.94 mm Silicone Tube Intubation in Adults.
Dong Hyun Lee, Hee Young Choi, Jung Hyo Ahn
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. jhahn77@hanmail.net
2Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
성인에서 0.64 mm와 0.94 mm 굵기의 실리콘관 삽입술의 성공률 및 합병증 비교
이동현1⋅최희영2⋅안정효1
부산대학교 의학전문대학원 양산부산대학교병원 안과학교실1, 부산대학교 의학전문대학원 부산대학교병원 안과학교실2
Correspondence:  Jung Hyo Ahn,
Email: jhahn77@hanmail.net
Received: 11 February 2016   • Revised: 15 June 2016   • Accepted: 27 July 2016
Abstract
PURPOSE
To compare surgical success rates and complications of silicone tube intubation using 0.64-mm- and 0.94-mm-diameter tubes in adult patients with nasolacrimal duct stenosis. METHODS: In 62 eyes of 36 patients diagnosed with nasolacrimal duct stenosis who had undergone silicone tube intubation, we surveyed sex, age, symptom duration, time of tube removal, mean follow-up period, and surgical success rate between two groups divided by silicone tube diameter, 0.64 mm and 0.94 mm. By preoperative syringing test and dacryocystography, we examined the surgical results and complications of the two groups. RESULTS: The silicone tube diameter was 0.64 mm in 43 eyes (69.4%) and 0.94 mm in 19 eyes (30.2%). The surgical success rates in the two groups were 84.1% (36 eyes) and 78.9% (15 eyes), respectively, but the difference was not significant statistically. The surgical success rate was higher in partial stenosis than in complete stenosis but was not different according to silicone tube diameter according to preoperative syringing test and dacryocystography. Silicone tube disconnection and bending were only observed in 0.94-mm-diameter silicone tubes. CONCLUSIONS: In silicone tube intubation for nasolacrimal duct stenosis in adults, silicone tube diameter does not affect operation success. However, silicone tube disconnection and bending were observed only in the 0.94 mm silicone tube.
Key Words: Dacryocystography;Nasolacrimal duct stenosis;Silicone tube diameter


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