Lacrimal Passages Injury Associated With Eyelid Burns.

Lee, Jae Hwan; Moon, Yoen Sung; Byon, Do Seok

Original Article

Journal of the Korean Ophthalmological Society 2001;42(5):669-673.
Published online May 1, 2001.

Lacrimal Passages Injury Associated With Eyelid Burns.

Jae Hwan Lee, Yoen Sung Moon, Do Seok Byon

Department of Ophthalmology, College of Medicine, Inha University, Inchon, Korea.

안검화상과 연관된 눈물길 손상

이재환(Jae Hwan Lee),문연성(Yoen Sung Moon),변도석(Do Seok Byon)

Abstract

PURPOSE
To develop a protocol for treatment of injuries to lacrimal punctum and canaliculus associated with eyelid burns. METHODS: We retrospectively reviewed the records of seven patients who required the treatment of punctal and canalicular injuries caused by medial eyelid burns. RESULTS: Four patients were treated with punctoplasty and bicanalicular silicone tube intubation within 3 weeks of injury. One patient was treated at 2 months and punctum of upper eyelid was not found, requiring punctoplasty and monocanalicular silicone tube intubation of lower eyelid. Silicone tube removal was performed over a range of 3 to 6 months. Two patients were treated after 3 months of injury by conjunctivodacryocystorhinostomy. Six patients showed good passage by syringing after surgery. CONCLUSIONS: Early evaluation and treatment of canalicular burn injuries can avoid complex surgical procedures such as conjunctivodacryocystorhinostomy, and silicone tube removal is recommended before 6 months after surgery.

Key Words: Canalicular injury;Eyelid burn;Silicone tube intubation