Management of Prolapsed Silicone Tube Inserted for Treatment of Nasolacrimal Duct Obstruction.
- Author:
Joon Jeong PARK
1
;
Dong Su SHIN
;
Sungpyo HONG
;
Kyoo Won LEE
Author Information
1. Department of Ophthalmology, Cheil Eye Hospital Daegu, Korea. healeye@nate.com
- Publication Type:Original Article
- Keywords:
Nasolacrimal duct obstruction;
Prolapsed silicone tube;
Ritleng probe
- MeSH:
Anesthesia, Local;
Follow-Up Studies;
Intubation;
Nasolacrimal Duct*;
Nose;
Polypropylenes;
Silicon*;
Silicones*
- From:Journal of the Korean Ophthalmological Society
2005;46(1):22-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To introduce a new surgical management for the prolapsed silicone tube into the ocular surface which was inserted for treatment of nasolacrimal duct obstruction. METHODS: Five eyes of 179 eyes treated with silicone tube intubation for nasolacrimal duct obstruction from May to December 2003 had a prolapsed silicone tube during the follow-up period. After local anesthesia, a Ritleng probe was inserted into the nasolacrimal duct. A polypropylene thread was passed into the Ritleng probe, and after removal of the probe, the thread was tied to a prolapsed silicone tube near a punctum and was pulled through the nose. The silicone tube was repositioned in the nasolacrimal duct. RESULTS: All the prolapsed silicone tubes were successfully repositioned without any significant complications. CONCLUSIONS: It is difficult to reposition a prolapsed silicone tube after silicone tube intubation for the treatment of nasolacrimal duct obstruction. We introduced an easy and effective method to reposition the prolapsed silicone tube.
