Application of Worst lacrimal probe combined with modified lacrimal duct threading intubation in anastomosis of complex canalicular laceration
10.3980/j.issn.1672-5123.2023.2.30
- VernacularTitle:Worst泪道探针联合改良泪道穿线插管法在复杂性泪小管断裂吻合术中的应用
- Author:
Tai-Ying CHENG
1
,
2
;
Hong-Tao LIU
1
,
2
;
Ming-Bo LI
1
,
2
;
Yang LI
1
,
2
;
Su-Jun ZHOU
1
,
2
;
Xiao-Mei NIE
1
,
2
;
You-Huan CAI
1
,
2
Author Information
1. Department of Ophthalmology, the Second Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China
2. Zunyi Medical University, Zunyi 563000, Guizhou Province, China
- Publication Type:Journal Article
- Keywords:
canalicular laceration;
ocular trauma;
Worst lacrimal probe;
modified operation;
curative effect
- From:
International Eye Science
2023;23(2):334-338
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the application value of Worst lacrimal probe combined with modified lacrimal duct intubation in anastomosis of complex canalicular laceration.METHODS: Retrospective study. A total of 68 cases(68 eyes)with complex traumatic canalicular laceration treated in the ophthalmology department of the Second Affiliated Hospital of Zunyi Medical University from March 1, 2019 to March 31, 2021 were selected. They were divided into two groups according to the surgical methods, with 36 patients(36 eyes)who were treated with the Worst lacrimal probe to find the broken end of lacrimal duct combined with improved lacrimal duct threading intubation in group A, and 32 patients(32 eyes)who were treated with microscope to find the broken end of lacrimal duct and two-way intubation anastomosis canaliculus intubation in group B. The clinical efficacy, success rate of intraoperative search for the broken end of lacrimal duct, searching time, operation time, the degree of pain, postoperative ocular foreign body sensation and complications were compared between the two groups.RESULTS: The total effective rate of clinical efficacy in patients of group A was higher than that in group B(94% vs. 38%), the success rate of intraoperative search for broken end of lacrimal duct was higher than that in group B(100% vs. 47%), the searching time and operation time were shorter than those in group B, and the score of pain degree was lower than that in group B(all P<0.05). The postoperative follow-up for 6mo-1a showed that the ocular foreign body sensation score, the incidence of lacrimal punctum rupture and morphological change, and the degree of tear overflow in group A were all lower than those in group B(all P<0.05).CONCLUSION: Worst lacrimal probe combined with modified lacrimal duct intubation for the treatment of complex traumatic canalicular laceration can find the broken end of lacrimal duct more accurately, shorten the operation time, reduce the pain and foreign body sensation of patients, improve clinical efficacy and reduce the incidence of complications.
