Ophthalmology · 1996
Reversal of iatrogenic punctal and canalicular occlusion.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Pratt D V, Patrinely J R
Аннотация
PURPOSE: Significant epiphora occasionally develops after therapeutic punctal occlusion. When this complication occurs from combined scarring of the upper and lower proximal canaliculi, correction usually requires a conjunctivodacryocystorhinostomy.
METHODS: The authors describe a new microsurgical technique for reversing iatrogenic occlusion of both the upper and lower canaliculi. The relatively straightforward reconstruction uses the remaining canalicular system to create new tear outflow sites.
RESULTS: This procedure has been used successfully to repair eight of nine consecutive cases of iatrogenic canalicular occlusion, with an average follow-up of 2 years.
CONCLUSION: Iatrogenic canalicular occlusion can be reversed microsurgically without a conjunctivodacryocystorhinostomy.
METHODS: The authors describe a new microsurgical technique for reversing iatrogenic occlusion of both the upper and lower canaliculi. The relatively straightforward reconstruction uses the remaining canalicular system to create new tear outflow sites.
RESULTS: This procedure has been used successfully to repair eight of nine consecutive cases of iatrogenic canalicular occlusion, with an average follow-up of 2 years.
CONCLUSION: Iatrogenic canalicular occlusion can be reversed microsurgically without a conjunctivodacryocystorhinostomy.