期刊论文详细信息
Indian Journal of Ophthalmology
The efficacy of sleeve technique in primary nasolacrimal duct obstruction with a high lacrimal sac
关键词: Mean deviation;    non-proliferative diabetic retinopathy;    short fluctuations;    short wave automated perimetry;    standard automated perimetry;    Antimicrobial effect;    conventional silicone oil;    endophthalmitis agents;    heavy silicone oil;    Keratoconus;    modified deep anterior lamellar keratoplasty;    steep corneal curvature;    Bevacizumab;    branch retinal vein occlusion;    intravitreal;    macular edema;    triamcinolone;    Blindness;    disability evaluation;    quality of life;    visual acuity;    Mitomycin C;    pterygium recurrence;    pterygium surgery;    subconjunctival bevacizumab injection;    Imaging in glaucoma;    optical coherence tomography;    pediatric;    retinal nerve fiber layer;    Autogenous tissue grafting;    lacrimal drainage system;    lacrimal fossa;    bypass surgery;    Cornea;    excimer laser;    growth factors;    myopia;    photorefractive keratectomy;    Triamcinolone acetonide;    human trabecular meshwork cells;    in vitro;    Hyperopic implantable collamer lens;    myopic implantable collamer lens;    optical quality;    wavefront aberrations;    Dacryocystorhinostomy;    nasolacrimal duct obstruction;    silicone tube;   
DOI  :  10.4103/0301-4738.120229
来源: DOAJ
【 摘 要 】

Purpose: To evaluate the efficacy of a sleeve technique during endoscopic dacryocystorhinostomy (DCR) in primary nasolacrimal duct obstruction (NLDO) patients with a high lacrimal sac. Materials and Methods: The medical records of 45 patients (49 cases) undergoing endoscopic DCR for primary NLDO with a high lacrimal sac were retrospectively reviewed. In 19 patients (21 cases), the thick maxilla covering the common canalicular opening was removed using a drill and a bicanalicular silicone tube was inserted (group 1). In 26 patients (28 cases), instead of removal of the thick maxilla, a sleeve was inserted into the bicanalicular silicone tube (group 2). At 6 months postoperatively, the success rate was evaluated and the size of the intranasal mucosal ostium was measured. Results: The success rates in group 1 and 2 was 90.5% and 96.4%, respectively (P = 0.400). The intranasal mucosal ostium in group 1 and 2 measured 1.7 ± 0.7 mm and 3.1 ± 1.0 mm, respectively, and the difference was significant (P = 0.042). Conclusions: In primary NLDO patients with a high lacrimal sac, DCR inserting a silicone tube and a sleeve together had a satisfactory success rate without using a drill. In comparison with traditional surgical methods, it helped enlarge the size of the intranasal mucosal ostium.

【 授权许可】

Unknown   

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