누소관 경유 다이오드 레이저를 이용한 내시경적 누낭비강연결 재개통술의 효과

• 영문명: The Effects of Transcanalicular Diode Laser-Assisted Revision Surgery for Failed Dacryocystorhinostomy
• 발행기관: 대한안과학회
• 저자명: 유준호 이화 신형호 이종미 장민욱 백세현,Jun Ho Yoo, MD, Hwa Lee, MD, PhD, Hyung Ho Shin, MD, Jong Mee Lee, MD, Min Wook Jang, MD, PhD, Se Hyun Baek, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number4, 493~498쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.04.15

영문 초록

Purpose: To determine the intranasal causes of failed dacryocystorhinostomy (DCR) and the effects of transcanalicular diode laser-assisted revision surgery. Methods: Twenty-four patients (29 eyes) who underwent revision surgery for a failed DCR at the Department of Ophthalmology, Ansan Hospital, Korea University between March 2009 and February 2011 were included in the present retrospective study. The intranasal causes of failed DCR, the time of symptoms such as epiphora and discharge after DCR, success rates of revision surgeries and follow-up periods were evaluated. Results: Membranous obstruction was found in 25 eyes (86.2%) and was accompanied with granuloma in 10 eyes; these were the most common causes of failed DCR. The mean time for symptom development after DCR was 14.6 months, the success rate of the first revision surgery was 82.1% and good results were obtained in 5 eyes after the second revision surgery. Recurrence developed in 2 eyes, but symptoms improved after the lateral tarsal strip procedure. Conclusions: Membranous obstruction was the most common intranasal cause of failed DCR and transcanalicular diode laser-assisted revision surgery produced good results. Additionally, in patients with persistent epiphora following anatomically- patent revisional surgery, lacrimal pump failure due to lower eyelid laxity should be considered and corrected. J Korean Ophthalmol Soc 2012;53(4):493-498

키워드

Failed dacryocystorhinostomy, Intranasal cause, Lacrimal pump failure, Transcanalicular diode laser-assisted revision surgery