잔류된 실리콘관에 의해 발생한 눈물샛길

• 영문명: A Case of Acquired Lacrimal Fistula Caused by Silicone Tube Remnant
• 발행기관: 대한안과학회
• 저자명: 송용주 정지성 양성원,Yong Ju Song, MD, Ji Seong Jeong, MD, Seong Won Yang, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number5, 746~749쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.05.15

영문 초록

Purpose: To report a case of acquired lacrimal fistula caused by silicone tube remnant. Case summary: A 56-years-old female who suffered from purulent discharge in inner skin of the right lower eyelid visited our clinic. Lacrimal fistula was found in the skin at the medial side of the right lower eyelid. The patient reported that she had a silicone tube intubation operation 3 years prior due to a nasolacrimal obstruction of right eye. On syringing test, saline solution and purulent discharge were drained from the fistula skin opening and there was no nasolacrimal obstruction. After admission, antibiotic treatment and potadine soaking dressing were performed to facilitate spontaneous closing of the lacrimal fistula. However, the lacrimal fistula relapsed and lacrimal fistulectomy and bicanalicular silicone tube intubation were performed. During surgery, silicone tube remnant material not totally extubated at the lacrimal sac was found which we removed. Postoperatively, systemic antibiotic therapy was administered and the chronic inflammation improved. Conclusions: We report a case of lacrimal fistula caused by silicone tube remnant in the lacrimal sac. Acquired lacrimal fistula caused by a silicone tube remnant can be treated by fistulectomy and silicone tube remnant removal. J Korean Ophthalmol Soc 2014;55(5):746-749

키워드

Acquired lacrimal fistula, Silicone tube remnant