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New technique for lacrimal system intubation
Linghua Wang1, Dong Chen, Zhichong Wang
1Zhongshan Ophthalmic Center of Sun Yat-Sen University, Guangzhou, PR China.
American Journal of Ophthalmology
|August 1, 2006
Summary
A new silicone intubation technique for lacrimal system disorders is effective and well-tolerated in children and adults. This atraumatic, time-saving method offers a safe alternative for nasolacrimal duct intubation.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Disorders of the lacrimal system affect both children and adults.
- Effective intubation techniques are crucial for managing these conditions.
Purpose of the Study:
- To introduce and evaluate a novel technique for silicone intubation in pediatric and adult patients with lacrimal system disorders.
Main Methods:
- A retrospective case series involving 426 patients (513 eyes) from March 2003 to July 2005.
- Utilized a soft probe and intranasal endoscope for silicone tube insertion through puncta into the nasolacrimal duct.
- Tubes remained in place for 3 to 6 months.
Main Results:
- Successful surgery in all cases with no intraoperative complications.
- Mean follow-up of 15.1 months post-removal; tube displacement in 2.14% of cases.
- No granuloma formation or corneal erosion; successful and safe tube removal.
Conclusions:
- The proposed silicone intubation technique is effective for both pediatric and adult patients.
- This method is atraumatic, easy to perform, time-saving, and well-tolerated.
- It presents a viable alternative for nasolacrimal duct intubation.