The Results of Pigtail Probe Canalicullar Reconstruction Surgery with Silicone Tube and Methylcellulose.
- Author:
Sang Ho SEO
1
;
Han Ki CHANG
Author Information
1. Department of Ophthalmology, Wallace Memorial Baptist Hospital, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Canalicullar reconstruction;
Pigtail probe;
Methylcellulose mixed fluorescein
- MeSH:
Anesthesia, General;
Anesthesia, Local;
Cobalt;
Eyelids;
Fluorescein;
Lacerations;
Lacrimal Apparatus Diseases;
Methylcellulose*;
Silicones*;
Stents
- From:Journal of the Korean Ophthalmological Society
1993;34(11):1178-1182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed simple and successful canalicular reconstruction with smooth tip pigtail probe in 56 cases of inferior canalicular laceration. After general anesthesia or local anesthesia in inferior and superior canthal area, upper lacrimal sac area and lacerated inferior eyelid, methylcellulose mixed fluorescein was injected through the superior canaliculus under the surgical microscope with cobalt blue filter and simply found cutting end of the inferior canalicullus. Smooth tip pigtail probe was inserted and silicone stent was connected the superior and inferior canaliculi and the peri canalicular sheath was sutured with and to end anastomosis. Silicone tube was removed after postoperative 8 weeks and 86% of the patients(48/56 cases) was successful without epiphora. Smooth tip pigtail probe, methylcellulose mixed fluorescein, silicone stent, and end to end anastomosis of pericanalicular sheath under the surgical microscope would increase the success rate of pigtail probe canalicular reconstruction.