The Effects of Lateral Tarsal Strip Procedure on the Functional Nasolacrimal Duct Obstruction.
- Author:
Jung Min WOO
1
;
Dong Min SHIN
;
Jung Min PARK
;
Hee Bae AHN
Author Information
1. Department of Ophthalmology, Dong-A University College of Medicine, Pusan, Korea. hbahn@daunet.donga.ac.kr
- Publication Type:Original Article
- Keywords:
Lacrimal pump;
Lateral tarsal strip procedure;
Lower lid laxity
- MeSH:
DDT;
Eyelids;
Fluorescein;
Follow-Up Studies;
Humans;
Medical Records;
Nasolacrimal Duct*;
Orbit;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
2006;47(9):1375-1380
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the effects of the lateral tarsal strip procedure in the treatment of lacrimal pump dysfunction related to lower lid laxity. METHODS: This study investigated 46 eyes of 35 patients diagnosed with dysfunction of the lacrimal pump on which the lateral tarsal strip procedure was performed between June 2001 and February 2004. We retrospectively reviewed patients' medical records for information including age, gender, history, follow-up period, change of fluorescein dye disappearance test (DDT), tear meniscus height (TMH), symptoms, and complications. RESULTS: Improvement of tearing was noted in 26 patients (78.8%). Thirty-seven eyes (80.5%) were improved by more than 1 grade on DDT. Significant improvement above 2 grades was observed in 16 eyes (34.7%). With respect to age, 62.5% of 3rd-decade patients improved most effectively by more than 2 grades on DDT. Postoperative TMH compared with preoperative TMH measures were significantly lower according to statistics. The most common complication was discomfort or tenderness over the orbital rim (13.0%). CONCLUSIONS: Performance of the lateral tarsal strip procedure for tearing caused by dysfunction of the lacrimal pump and related to lower lid laxity improved patients' tearing, DDT and TMH status. We therefore expect the lateral tarsal strip procedure to be effective in the surgical treatment of lacrimal pump dysfunction secondary to lower eyelid laxity.
