Monocanalicular and Bicanalicular Intubation with Sequential Probing for Congenital Nasolacrimal Duct Obstruction in Patients Over the Age of 24 Months.
10.3341/jkos.2013.54.11.1635
- Author:
Jie Hyun YOUM
1
;
Hwa LEE
;
Min Wook JANG
;
Se Hyun BAEK
;
Tae Soo LEE
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Bicanalicular intubation;
Congenital nasolacrimal duct obstruction;
Monocanalicular intubation;
Sequential probing
- MeSH:
Fluorescein;
General Surgery;
Humans;
Intubation*;
Lacrimal Apparatus Diseases;
Nasolacrimal Duct*;
Silicones
- From:Journal of the Korean Ophthalmological Society
2013;54(11):1635-1640
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The clinical effectiveness of monocanalicular or bicanalicular intubation with sequential probing was evaluated in patients over the age of 24 months with congenital nasolacrimal duct obstruction. METHODS: Patients over 24 months of age with congenital nasolacrimal duct obstruction who underwent monocanalicular intubation with sequential probing (19 patients, 20 eyes) or bicanalicular intubation with sequential probing (22 patients, 22 eyes) were studied. Success rates and complications were evaluated. Silicone tube was removed 6 months after surgery. Success was defined as no epiphora and no retention on fluorescein dye disappearance test. RESULTS: The success rate was 95.0% (19 eyes / 20 eyes) in the monocanalicular intubation group and complications included 7 cases of early tube dislodgement, which achieved successful outcome. The success rate was 82.6% (19 eyes / 22 eyes) in the bicanalicular intubation group and complications included 4 cases of punctal slitting, and 3 cases of tube extrusion. The success and complication rates were not significantly different between the 2 groups (p = 0.608, p = 1.000, respectively). CONCLUSIONS: In congenital nasolacrimal duct obstruction, the monocanalicular tube intubation group had similar success and complication rates to the bicanalicular tube intubation group. Silicone tube maintenance for 2 months in the monocanalicular group and for 3 months in the bicanalicular group was sufficient.
