J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(12):1821-1825.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1821    Published online December 15, 2015.
Results of Silicone Tube Intubation in Patients with Common Canalicular Obstruction in Dacryocystography.
Hak Jun Lee, Min Joung Lee
Department of Ophthalmology, Hallym University College of Medicine, Chuncheon, Korea. minjounglee77@gmail.com
눈물주머니조영술에서 공통눈물소관 폐쇄를 보이는 환자에서 실리콘관삽입술의 효과
이학준⋅이민정
한림대학교 의과대학 안과학교실
Received: 15 May 2015   • Revised: 18 August 2015   • Accepted: 15 October 2015
Abstract
PURPOSE
To evaluate the effects of silicone tube intubation in patients showing common canalicular obstruction in dacryocystography. METHODS: We conducted a retrospective chart review of 136 eyes of 93 patients who underwent silicone tube intubation and who were followed for more than 6 months. The patients were divided into 2 groups: the normal canaliculus group (112 eyes of 72 patients) and the common canalicular obstruction group (24 eyes of 21 patients). The demographic characteristics, degree of nasolacrimal duct obstruction on probing, and functional and anatomical success rates of silicone tube intubation were compared between the two groups. Surgery success was noted when the patient was satisfied with the 'improved' tearing symptom and the tear meniscus height decreased. RESULTS: On probing, 17 (70.8%) of 27 eyes revealed definite obstructive feeling at nasolacrimal duct in the common canalicular obstruction group, and there was no significant difference compared to the normal canaliculus group (p = 0.639). The anatomical success rate of silicone tube intubation was 91.1% in the normal canaliculus group and 83.3% in the common canalicular obstruction group, and the functional success rate was 85.7% in the normal canaliculus group and 75.0% in the common canalicular obstruction group. There were no significant differences in success rates between the two groups (p = 0.271, p = 0.161, respectively). CONCLUSIONS: Silicone tube intubation can be considered as a primary treatment option for management of common canalicular obstruction.
Key Words: Common canalicular obstruction;Dacryocystography;Silicone tube intubation


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