Effect of intubation in patients with functional epiphora after endoscopic dacryocystorhinostomy  

作　　者：Xue-Mei Han Wen-Hao Jiang Wen-Can Wu Bo Yu 

机构地区：[1]Department of Ophthalmology,the First Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou 310000,Zhejiang Province,China [2]Department of Ophthalmology,the Fourth Affiliated Hospital of Zhejiang University School of Medicine,Yiwu 322000,Zhejiang Province,China [3]Department of Orbital and Oculoplastic Surgery,National Clinical Research Center for Ocular Diseases,Eye Hospital,Wenzhou Medical University,Wenzhou 325027,Zhejiang Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2023年第7期1060-1064,共5页国际眼科杂志（英文版）

摘　　要：AIM:To investigate the effect of bicanalicular silicone tube intubation(BSTI)in the treatment of functional epiphora after endoscopic dacryocystorhinostomy(En-DCR).METHODS:Clinical data of 84 patients(95 eyes)with functional epiphora after En-DCR were retrospectively analyzed.Functional epiphora was confirmed as persistent or recurrent epiphora by fluorescein dye disappearance test(FDDT),lacrimal irrigation test,as well as endoscopic examination.Secondary BSTIs were recommended for patients with functional epiphora.These tubes were removed 1mo after surgery.Functional success and associated complications were assessed after 2y of follow-up.RESULTS:Seven patients(9 eyes)refused intervention,5 patients(6 eyes)did not complete postoperative followup,and 1 patient(1 eye)developed tube prolapse within 1mo after surgery.Seventy-one patients(79 eyes)were included at last.Functional success ratios at six months,one year,as well as two years post-operation were 94.9%(75/79),92.4%(73/79),and 91.1%(72/79),respectively.Three eyes presented with punctal slitting(2 eyes without epiphora),1 eye with proximal canaliculus slitting,1 eye with canaliculus stenosis and 4 eyes with still present functional epiphora without detectable abnormal at the last follow-up.CONCLUSION:Secondary intubation is an effective procedure with low recurrence probability for functional epiphora after En-DCR.Punctal and canaliculus injury are the main tube-associated complications after secondary intubation.

关 键 词：bicanalicular silicone tube endoscopic dacryocystorhinostomy functional epiphora 

分 类 号：R779.6[医药卫生—眼科]