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

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.

• Authors: Nam Ju Kim, Jong Hyun Kim, Sang Won Hwang, Ho Kyung Choung, Yong Jae Lee, Sang In Khwarg
• Journal: Korean journal of ophthalmology : KJO (Korean J Ophthalmol) Vol. 21 Issue 2 Pg. 70-3 (Jun 2007) ISSN: 1011-8942 [Print] Korea (South)
• PMID: 17592235 (Publication Type: Journal Article)

Chemical References

• Silicone Elastomers

Topics

• Adult
• Aged
• Aged, 80 and over
• Dacryocystorhinostomy
• Female
• Follow-Up Studies
• Humans
• Intubation (instrumentation)
• Lacrimal Apparatus
• Lacrimal Apparatus Diseases (therapy)
• Male
• Middle Aged
• Retrospective Studies
• Silicone Elastomers
• Time Factors
• Treatment Failure