J Korean Ophthalmol Soc.
2001 May;42(5):669-673.
Lacrimal Passages Injury Associated With Eyelid Burns
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Inha University, Inchon, Korea.
Abstract
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PURPOSE: To develop a protocol for treatment of injuries to lacrimal punctum and canaliculus associated with eyelid burns.
METHODS
We retrospectively reviewed the records of seven patients who required the treatment of punctal and canalicular injuries caused by medial eyelid burns.
RESULTS
Four patients were treated with punctoplasty and bicanalicular silicone tube intubation within 3 weeks of injury. One patient was treated at 2 months and punctum of upper eyelid was not found, requiring punctoplasty and monocanalicular silicone tube intubation of lower eyelid. Silicone tube removal was performed over a range of 3 to 6 months. Two patients were treated after 3 months of injury by conjunctivodacryocystorhinostomy. Six patients showed good passage by syringing after surgery.
CONCLUSIONS
Early evaluation and treatment of canalicular burn injuries can avoid complex surgical procedures such as conjunctivodacryocystorhinostomy, and silicone tube removal is recommended before 6 months after surgery.
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