Influence on the curative effect by different time of irrigating after endo-lacrimal recanalisation surgery by laser combming ointment stuffing
10.3760/cma.j.issn.1673-4904.2010.33.006
- VernacularTitle:激光泪道成形联合药膏灌注术后冲洗时间对疗效的影响
- Author:
Shede ZHANG
;
Xiuhua ZHONG
;
Rong LUO
- Publication Type:Journal Article
- Keywords:
Lacrimal duct obstruction;
Laser surgery;
Irrigation;
Eye ointment
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(33):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect of different time of irrigating after endolacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing. Methods Seventy-five cases (75 eyes) of lacrimal duct obstruction, which received endo-lacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing were divided into three groups by random digits table with 25 cases in each group. Group A received irrigating: the first day postoperative, consecutive 3 days,followed by once a week till a month. Group B received irrigating:the third day postoperative, consecutive 3 days,followed by once a week till a month. Group C received irrigating:the sixth day postoperative, consecutive 3 days, followed by once a week till a month. Followed-up survey for 12 months at the ophthalmologic outpatient clinic,the curative effect in each group was compared. Results In 6 months after surgery, the comparison of the curative effect was no statistical difference between group B and group C (P> 0.05), while the curative effects in group B and group C was superior to that in group A (P < 0.05). In 12 months after surgery, the curative effect in group C was better than that in group A and B, the difference were statistically significant (P<0.05). But there was no statistical significance compared with group A and group B (P>0.05). Conclusions Properly delayed irrigating may improve the curative effect after endo-lacrimal recanalisation surgery by Nd:YAG laser combining eye ointment stuffing, while easier irrigating can increase the incidence of re-blockage of lacrimal duct and reduce the efficacy.