J Korean Ophthalmol Soc.  2010 Sep;51(9):1174-1178. 10.3341/jkos.2010.51.9.1174.

Lateral Tarsal Strip Procedure and Silicone Tube Intubation on the Functional Nasolacrimal Duct Obstruction

• Ryu WY
• Suh JY
• Ahn HB

• KMID: 2122282
• DOI: http://doi.org/10.3341/jkos.2010.51.9.1174

Abstract

PURPOSE
To compare the effects of the lateral tarsal strip procedure alone and the lateral tarsal strip procedure combined with silicone tube intubation in the treatment of functional lacrimal duct obstruction.
METHODS
The present study investigated 27 eyes of 20 patients underwent lateral tarsal strip procedure (LTS) alone and 29 eyes of 18 patients underwent combined lateral tarsal strip procedure and silicone tube intubation and who were diagnosed with functional lacrimal duct obstruction. The authors retrospectively reviewed patients' medical records for information including age, gender, history, follow-up period, tear meniscus height (TMH), and symptoms.
RESULTS
The average age of the LTS alone group was 60.3 years, and that of the combined groups was 65.9 years. The TMHs in the LTS only and combined operation groups were 0.62 +/- 0.23 mm and 0.62 +/- 0.19 mm before the operation and 0.43 +/- 0.20 mm and 0.26 +/- 0.09 mm after the operation, respectively. The postoperative improvement in epiphora was 74.1% after the LTS alone and 86.2% after combined LTS with silicone tube intubation. The postoperative improvement in epiphora and the operative technique of the lateral tarsal strip-canthus sparing or cantholysis were not relevant.
CONCLUSIONS
Lateral tarsal strip combined with silicone tube intubation appeared useful in the treatment of epiphora patients without anatomic lacrimal duct obstruction. Determining which operative technique of lateral tarsal strip procedure should be chosen is difficult, and the preoperative syringing and snap back test may be helpful.

Keyword

Canthus-sparing ectropion repair; Lacrimal pump; Lateral tarsal strip procedure; Lower lid laxity; Silicone tube intubation

MeSH Terms

Eye
Follow-Up Studies
Humans
Intubation
Lacrimal Apparatus Diseases
Lacrimal Duct Obstruction
Medical Records
Nasolacrimal Duct
Retrospective Studies
Silicones
Silicones

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