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Lacrimal silicone intubation for anatomically successful but functionally failed external dacryocystorhinostomy.

Kim NJ, Kim JH, Hwang SW, Choung HK, Lee YJ, Khwarg SI - Korean J Ophthalmol (2007)

Bottom Line: Mean patient age was 54.2 years (range 42-80) and mean follow-up was 13.8 months (range 6-30).Spontaneous tube extrusion occurred in three patients, but a new one was easily reintubated.Lacrimal silicone intubation is a simple safe and effective procedure for patients with epiphora even after anatomically successful DCR.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To investigate the efficacy of lacrimal silicone intubation for the management of epiphora in patients who have previously undergone anatomically successful dacryocystorhinostomy (DCR).

Methods: The authors recruited 13 patients (4 male, 9 female) who had persistent epiphora after an anatomically successful primary external DCR and conducted lacrimal silicone intubation through the dacryocystorhinostomy site.

Results: Mean patient age was 54.2 years (range 42-80) and mean follow-up was 13.8 months (range 6-30). Epiphora was resolved in all 13 patients following silicone intubation. Spontaneous tube extrusion occurred in three patients, but a new one was easily reintubated.

Conclusions: Lacrimal silicone intubation is a simple safe and effective procedure for patients with epiphora even after anatomically successful DCR.

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Related in: MedlinePlus

Result of Fluorescein dye disappearance test before silicone intubation (A: immediately after dye instillation, B: five minutes after dye instillation) This patient complained of epiphora recurrence in the left eye after the planned removal of the silicone tube following anatomically patent DCR. Note that fluorescein dye remained in left eye on dye disappearance test (Bottom right, arrow).
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Figure 1: Result of Fluorescein dye disappearance test before silicone intubation (A: immediately after dye instillation, B: five minutes after dye instillation) This patient complained of epiphora recurrence in the left eye after the planned removal of the silicone tube following anatomically patent DCR. Note that fluorescein dye remained in left eye on dye disappearance test (Bottom right, arrow).

Mentions: All 13 patients reported complete resolution of epiphora and presented a normal tear lake by slit lamp biomicroscopic examination after silicone intubation (Fig. 1, 2). Spontaneous tube extrusion occurred in three patients, and they complained recurrent epiphora right after its extrusion. New tubes were easily reintubated. Silicone tube-related complications, such as granuloma, canalicular or punctal slitting were absent postoperatively. As far as there is no tube-related complication, tubes will be maintained in situ.


Lacrimal silicone intubation for anatomically successful but functionally failed external dacryocystorhinostomy.

Kim NJ, Kim JH, Hwang SW, Choung HK, Lee YJ, Khwarg SI - Korean J Ophthalmol (2007)

Result of Fluorescein dye disappearance test before silicone intubation (A: immediately after dye instillation, B: five minutes after dye instillation) This patient complained of epiphora recurrence in the left eye after the planned removal of the silicone tube following anatomically patent DCR. Note that fluorescein dye remained in left eye on dye disappearance test (Bottom right, arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629706&req=5

Figure 1: Result of Fluorescein dye disappearance test before silicone intubation (A: immediately after dye instillation, B: five minutes after dye instillation) This patient complained of epiphora recurrence in the left eye after the planned removal of the silicone tube following anatomically patent DCR. Note that fluorescein dye remained in left eye on dye disappearance test (Bottom right, arrow).
Mentions: All 13 patients reported complete resolution of epiphora and presented a normal tear lake by slit lamp biomicroscopic examination after silicone intubation (Fig. 1, 2). Spontaneous tube extrusion occurred in three patients, and they complained recurrent epiphora right after its extrusion. New tubes were easily reintubated. Silicone tube-related complications, such as granuloma, canalicular or punctal slitting were absent postoperatively. As far as there is no tube-related complication, tubes will be maintained in situ.

Bottom Line: Mean patient age was 54.2 years (range 42-80) and mean follow-up was 13.8 months (range 6-30).Spontaneous tube extrusion occurred in three patients, but a new one was easily reintubated.Lacrimal silicone intubation is a simple safe and effective procedure for patients with epiphora even after anatomically successful DCR.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To investigate the efficacy of lacrimal silicone intubation for the management of epiphora in patients who have previously undergone anatomically successful dacryocystorhinostomy (DCR).

Methods: The authors recruited 13 patients (4 male, 9 female) who had persistent epiphora after an anatomically successful primary external DCR and conducted lacrimal silicone intubation through the dacryocystorhinostomy site.

Results: Mean patient age was 54.2 years (range 42-80) and mean follow-up was 13.8 months (range 6-30). Epiphora was resolved in all 13 patients following silicone intubation. Spontaneous tube extrusion occurred in three patients, but a new one was easily reintubated.

Conclusions: Lacrimal silicone intubation is a simple safe and effective procedure for patients with epiphora even after anatomically successful DCR.

Show MeSH
Related in: MedlinePlus