Result of Silicone Tube Intubation in Patients with Epiphora Who Showing Normal Finding in Dacryocystography

Hye Wook Jeong; Nam Chun Cho; Min Ahn

doi:10.3341/jkos.2008.49.5.706

Journal List > J Korean Ophthalmol Soc > v.49(5) > 1008254

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Jeong, Cho, and Ahn: Result of Silicone Tube Intubation in Patients with Epiphora Who Showing Normal Finding in Dacryocystography

Original Article

J Korean Ophthalmol Soc 2008;49(5):706-712.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.5.706

Result of Silicone Tube Intubation in Patients with Epiphora Who Showing Normal Finding in Dacryocystography

Hye Wook Jeong, M.D., Nam Chun Cho, M.D., Min Ahn, M.D.

Department of Ophthalmology, Chonbuk National University, Medical School, Jeonju, Korea

Address reprint requests to Min Ahn, M.D. Department of Ophthalmology, Chonbuk National University, Medical School #634-18 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 560-182, Korea Tel: 82-63-250-1965, Fax: 82-63-250-1960, E-mail: ahnmin@chonbuk.ac.kr

Received 15 May 2007 Accepted 27 December 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To Compare treatment results on silicone tube insertion according to the region and severity of resistance in lacrimal probing for functional nasolacrimal duct obstruction patients who complained of epiphora but are shown to be normal in lacrimal syringing and dacryocystography.

Methods

A retrospective study was conducted with 40 subjects (42 eyes) who had silicone tube insertion because of functional nasolacrimal duct obstruction. A comparison was made of post-operational patient satisfaction by grading (0∼3) according to the region and the severity of resistance and whether the resistance region was singular or multiple resistance regions were found on probing. Success was defined as a grade of more than one point.

Results

Two eyes had no resistance regions, 28 eyes had one resistance region, and 12 eyes had more than two resistance regions on lacrimal probing. There was no statistical significance in the ranking of postoperative satisfaction among theses groups. There was also no difference among the groups for postoperative satisfaction according to obstruction site.

Conclusions

Most functional nasolacrimal duct obstruction patients showed partial obstruction of the nasolacrimal duct on probing. Since functional nasolacrimal duct obstruction is not possible, we must treat patients for partial nasolacrimal duct obstruction, for wihch silicone tube insertion is thought to be effective.

Keywords: Epiphora, Functional nasolacrimal duct obstruction, Probing

References

1. Jones LT. An anatomical approach to problems of the eyelids and lacrimal apparatus. Arch Ophthalmol. 1961; 66:111–24.

2. Ewing AE. Roentgen ray demonstration of the lacrimal abscess cavity. Am J Opthalomol. 1909; 26:1–4.

3. Milder B, Demorest BH. Dacryocystography, 1. the normal apparatus. AMA Arch Ophthalmol. 1954; 51:180–95.

4. Nixon J, Birchall IW, Virjee J. The role of dacryocystography in the management of patient with epiphora. Br J Radiol. 1990; 63:337–9.

5. Campbell W. The radiology of the lacrimal system. Br J Radiol. 1964; 37:1–26.

6. Suh TH, Chang HR. The clinical evaluation of dacryocystography in patients with epiphora. J Korean Ophthalmol Soc. 1995; 36:1842–5.

7. Sohn HY, Hur J, Chung EH, Won IG. Clinical observation on silicone intubation in obstruction of lacrimal drainage system. J Korean Ophthalmol Soc. 1990; 31:135–40.

8. Huh D, Son MG, Kim YD. Silicone intubation for functional nasolacrimal duct obstruction. J Korean Ophthalmol Soc. 2000; 41:2303–7.

9. Angrist RC, Dortzbach RK. Silicone intubation for partial and total nasolacrimal duct obstruction in adults. Ophthalmic Plast Reconstr Surg. 1985; 1:51–4.

10. Chung WS, Park NG. Functional obstruction of the lacrimal drainage system. J Korean Ophthalmol Soc. 1995; 36:1435–8.

11. Anderson RL, Edwards JJ. Indications, complications and results with silicone stents. Ophthalmol. 1979; 86:1474–87.

12. Kim HD, Jeong SK. Silicone tube intubation in acquired nasolacrimal duct obstruction. J Korean Ophthalmol Soc. 2000; 41:327–31.

13. Park HJ, Hwang WS. Clinical results of silicone intubation for epiphora patients. J Korean Ophthalmol Soc. 2000; 41:2327–31.

14. Shin CH, Woo KI, Chang HR. Evaluation of the functional nasolacrimal duct obstruction with digital subtraction dacryocystography. J Korean Ophthalmol Soc. 2003; 44:529–33.

Figure 1.

(A) Normal dacryocystography in epiphora patient. (B) 15 minutes delayed image at the same patient shows retained contrast.

Table 1.

Location of resistance to lacrimal probing

Resistance site		Number of Eyes (%)	Improvement score∗	Success rate^†
No resistance		2 (4.7%)	3.0±0.00	2/2 (100.0%)
One site	Upper	11 (26.2%)	2.56±0.66	11/11 (100.0%)
	Lower	17 (40.5%)	2.45±0.69	17/17 (100.0%)
Two sites or more		12 (28.6%)	2.25±1.00	10/12 (83.3%)
Total		42	2.48±0.75	40/42 (95.2%)

^∗ P = 0.618 (Duncan's multiple range test);

^† P>0.5 (Duncan's multiple range test).

Table 2.

Severity of resistance to lacrimal probing

Severity	Number of Eyes (%)	Improvement score∗	Success rate^†
None	2 (4.7%)	3.0±0.00	2/2 (100.0%)
Mild	23 (54.8%)	2.64±0.60	22/23 (95.7%)
Moderate	8 (19.1%)	2.38±0.63	8/8 (100.0%)
severe	9 (21.4%)	2.22±1.04	8/9 (88.9%)

^∗ P = 0.618 (Duncan's multiple range test);

^† P>0.5 (Duncan's multiple range test).

Table 3.

Number of previous lacrimal probing

No. of probing	Number of Eyes (%)	Improvement score∗	Success rate^†
None	²8 (66.7%)	2.57±0.67	26/28 (92.9%)
1∼2 times	⁹ ^(21.4%)	2.56±0.59	9/9 (100.0%)
3 times or more	5 (11.9%)	2.20±0.96	5/5 (100.0%)

^∗ P = 0.697 (Duncan's multiple range test);

^† P>0.5 (Duncan's multiple range test).

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