Lacrimal Silicone Intubation for Anatomically Successful but Functionally Failed External Dacryocystorhinostomy.
- Author:
Nam Ju KIM
1
;
Jong Hyun KIM
;
Sang Won HWANG
;
Ho Kyung CHOUNG
;
Yong Jae LEE
;
Sang In KHWARG
Author Information
- Publication Type:Original Article
- Keywords: Epiphora; Functionally failed DCR; Lacrimal silicone intubation
- MeSH: 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
- From:Korean Journal of Ophthalmology 2007;21(2):70-73
- CountryRepublic of Korea
- Language:English
- 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.