Treatment of Common Canalicular Obstruction Using Lacrimal Trephine.
- Author:
Beung Sup PARK
1
;
Jae Woo JANG
;
Do Seok BYON
Author Information
1. Department of Ophthalmology, College of Medicine, Inha University Hospital, Inchon, Korea.
- Publication Type:Original Article
- Keywords:
Common canalicular obstruction;
Conjunctivodacryocystorhinostomy;
Epiphora;
Jones tube;
Lacrimal trephine
- MeSH:
Anesthesia, General;
Cicatrix;
Follow-Up Studies;
Humans;
Lacrimal Apparatus Diseases;
Prostheses and Implants;
Silicones;
Trephining
- From:Journal of the Korean Ophthalmological Society
1998;39(6):1077-1081
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Conjunctivodacryocystorhinostom.y using Jones tube has been the treatment of choice for patients with epiphora due to common canalicular obstruction. But this procedure carries a lot of disadvantages including external scar formation and many complications result from general anesthesia, and necessity of permanent prosthesis and long-term follow-up. So authors have used a new instrument, the lacrimal trephine designed for creating an opening through 8 distally occluded lacrimal canaliculus to treat the common canalicular obstruction. From June 1996 to December 1996, we performed 8 lacrirnal trephination with silicone tube insertion in five patients diagnosed as common canalicu-lar obstruction. All of them have achieved the anatomical success and four of thein have shown clinical success.