소아 코눈물관막힘에서 단눈물소관을 통한 실리콘관 삽입술

• 영문명: Monocanalicular Silicone Stent Insertion in Children with Nasolacrimal Duct Obstruction
• 발행기관: 대한안과학회
• 저자명: 노인호 최미영,In Ho Roh, M.D., Mi Young Choi, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number1, 1~6쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.01.31

영문 초록

Purpose: To determine the efficacy of Mini Monoka silicone stent insertion in treating nasolacrimal duct obstruction in children. Methods: In 67 eyes of 61 children with nasolacrimal duct obstruction, the Mini Monoka silicone stent was inserted after probing under general anesthesia. The duration of epiphora or discharge, the age at the time of surgery, and probing history were recorded. The surgical results and postoperative complications were analyzed for the cases herein of Mini Monoka silicone stent insertion. Results: The technical success rate of Mini Monoka silicone stent insertion was 91% in children with nasolacrimal duct obstruction, and the success rate for children without probing history was much higher than for those with probing history (81.5 : 97.5%, p=0.035). Postoperatively, the symptoms were resolved in 54 of 61 eyes (88.5%). The duration of preoperative symptoms was shorter in the successful group than in the failed group (15.9±7.1 : 21.9±8.8 months, p=0.044). Mini Monoka silicone tube was easily removed at 5.6 months after insertion in the clinic. Dacryocystitis was found to be a complication in two eyes yet was resolved without recurrence. Of the seven eyes with spontaneous extrusion of the stent, symptoms subsided in five eyes. Conclusions: Mini Monoka silicone stent insertion is an effective and relatively easy method, with a low risk of complication, to treatment children with nasolacrimal duct obstruction.

키워드

Mini Monoka silicone stent, Monocanalicular insertion, Nasolacrimal duct obstruction, Probing