Role of Dacryoscintigraphy in the Diagnosis and Treatment of Pediatric with Epiphora.
- Author:
Hwan Jeong JEONG
;
Hee Seung BOM
;
Ho Cheon SONG
;
Jung Jun MIN
;
Ji Yeul KIM
;
Sang Ki JEONG
;
Young Kul PARK
- Publication Type:Original Article
- Keywords:
Tc-99m pertechnetate;
Dacryoscintigraphy;
Nasolacrimal duct obstruction;
Epiphora
- MeSH:
Diagnosis*;
Gamma Cameras;
Humans;
Lacrimal Apparatus Diseases*;
Nasolacrimal Duct
- From:Korean Journal of Nuclear Medicine
1999;33(4):362-367
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We conducted this study to evaluate the role of dacryoscintigraphy in the diagnosis and treatment of pediatric patients with epiphora. MATERIALS AND METHODS: In 58 patients aged from 2 months to 15 years (mean age 2.8+/-2.3 years), dacryoscintigraphy was performed using a gamma camera with 4 mm pinhole collimator. We correlated symptoms with dacryosicntigraphic findings in all patients. In 37 patients who underwent ophthalmologic procedures, we analyzed the agreements of dacryoscintigraphic findings with the operation. RESULTS: High rates of agreements between epiphora and obstruction on dacryoscintigraphy (69/72, 95.8%), and between scintigraphic obstructive findings and operation sites (44/47, 93.6%) were noted. Nine of fourty-four (20.5%) asymptomatic eyes showed obstructive findings on dacroscintigraphy. CONCLUSION: In pediatric patients with epiphora, dacryoscintigraphy is a useful tool not only in diagnosing nasolacrimal duct obstruction but also in making a decision for therapeutic procedures.
