J Korean Ophthalmol Soc.
1998 Jun;39(6):1077-1081.
Treatment of Common Canalicular Obstruction Using Lacrimal Trephine
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Inha University Hospital, Inchon, Korea.
Abstract
- Conjunctivodacryocystorhinostom.y using Jones tube has been the treatment of choice for patients with epiphora due to common canalicular obstruction. But this procedure carries a lot of disadvantages including external scar formation and many complications result from general anesthesia, and necessity of permanent prosthesis and long-term follow-up. So authors have used a new instrument, the lacrimal trephine designed for creating an opening through 8 distally occluded lacrimal canaliculus to treat the common canalicular obstruction. From June 1996 to December 1996, we performed 8 lacrirnal trephination with silicone tube insertion in five patients diagnosed as common canalicu-lar obstruction. All of them have achieved the anatomical success and four of thein have shown clinical success.
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