Management of Epiphora in the Presence of Congenital Punctal and Canalicular Atresia
作者:
Kenneth Cahill,
John Burns,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1991)
卷期:
Volume 7,
issue 3
页码: 167-172
ISSN:0740-9303
年代: 1991
出版商: OVID
关键词: Punctal atresia;Silicone intubation;Intravenous catheter;Conjunctivodacryocystorhinostomy;Anlage duct;Nasolacrimal duct obstruction
数据来源: OVID
摘要:
We treated ten eyes in six pediatric patients with epiphora and punctal and canalicular atresia in one or both lids. Attempted probing and irrigation had failed to improve the epiphora. Nine out of ten of the lacrimal systems had additional anomalies, such as cutaneous lacrimal fistulas (anlage ducts), small sacs, and nasolacrimal duct stenosis or obstruction. A surgical plan is described for the exploration and reconstruction of these markedly abnormal nasolacrimal drainage systems, including a new method of performing bicanalicular intubation. Four of the five eyes with at least part of one canaliculus present have had resolution of epiphora.
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