Silicone tube를 이용한 누소관 재건술의 성적

Abstract

Traumatic laceration near the medial canthal area invariably results in debilitating epiphora due to transection of lacrimal canaliculi. Many treatment methods have been developed, but they often deem failure because of the difficulty in isolation of proximal segment of lacerated canaliculi and the development of scar adhesion. The silicaone tube is the most widely used material in the canalicular reconstruction. Compared to nylon, silk, plastic and polyethylene, the silicone is relatively inert and flexible, therefore, its use is infrequently associated with corneal irritation, iatrogenic injury cf canaliculi, and erosion of punctum´). The authors present the clinical experience of canalicular reconstruction using silicone tubes and Quickert-Dryden method : 25 cases of canalicular laceration were treated with the silicone tubes and the pigtail probe, and 27 cases with Quickert-Dryden method. The overall result was gratifying.