KTP激光联合聚维酮碘灌洗治疗泪小管炎  

The therapeutic effect on canalicuUtis treated with KTP laser and providone-iodine irriagation.

作　　者：匡大立[1] 尹忠贵[1] 刘常明[1] 陈艳艳[1] 

机构地区：[1]上海市浦东新区人民医院眼科,201200

出　　处：《中华眼外伤职业眼病杂志》2011年第8期620-621,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察KTP激光联合聚维酮碘灌洗治疗泪小管炎的疗效。方法泪小管炎18例（18眼）。先用生理盐水冲洗泪小管，直到泪道内无分泌物溢出，发现泪小管结石者，需彻底清除结石；然后用KTP激光疏通泪小管；最后用聚维酮碘灌洗泪道，30s后，用生理盐水冲洗，清除泪小管及结膜囊内残留的聚维酮碘。以后用上述方法隔日冲洗1次，直到泪小管炎症消退。结果经上述治疗后所有患者溢泪、溢脓症状消失，泪小管红肿消退，泪道冲洗通畅。随访6个月，17例无复发，1例在4个月时出现泪小管阻塞，但泪道冲洗无脓性分泌物，再次用KTP激光疏通后症状消失。结论KTP激光联合聚维酮碘灌洗治疗泪小管炎疗效可靠。Objective To evaluate the therapeutic effect on canaliculitis treated with KTP laser and providone-iodine irrigatation. Methods 18 patients（ 18 eyes） of canaliculitis were irrigated with physiological saline until there was no discharge in canaliculus. The canalicular concretions were removed thoroughly while they were noted, then obstruction of canaliculus was dredged by KTP laser. After lacrimal duct was poured with providone-iodine for 30 seconds, it was irrigated by mass physiological saline to remove residual providone-iodine in lacrimal and conjunctive sac. Thereafter the same management was performed 1 time every other day until canaliculilar inflammation disappeared. Results Symptoms of 18 patients with epiphora disappeared after management, inflammation of canaliculus dissolved. Irrigatation of lacrimal duct is unobstructed . Followed 6 months, 1 of 18 cases devloped recurrence at the 4th month after the treatment. Conclusion KTP laser with providone-iodine irrigatation is an effective method to treat canaliculitis, it has no sideeffect and can be popularized clinically.

关 键 词：KTP激光 聚维酮碘 泪小管炎 

分 类 号：R779.6[医药卫生—眼科]