Comparison Results of Silicone Tube Intubation According to Syringing and Dacryocystography

Jong Jin Jung; Sun Young Jang; Jae Woo Jang; Jung Hee In

doi:10.3341/jkos.2014.55.11.1584

Journal List > J Korean Ophthalmol Soc > v.55(11) > 1007892

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Jung, Jang, Jang, and In: Comparison Results of Silicone Tube Intubation According to Syringing and Dacryocystography

Original Article

J Korean Ophthalmol Soc 2014;55(11):1584-1588.

Published online: 2 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.11.1584

Comparison Results of Silicone Tube Intubation According to Syringing and Dacryocystography

Jong Jin Jung, MD¹, Sun Young Jang, MD², Jae Woo Jang, MD¹, Jung Hee In, MD²

¹Myung-Gok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea

²Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea

Address reprint requests to Jae Woo Jang, MD, Department of Ophthalmology, Konyang University Kim's Eye Hospital, #136 Yeongsin-ro, Yeongdeungpo-gu, Seoul 150-034, Korea, Tel: 82-2-2639-7777, Fax: 82-2-2671-6359, E-mail: jwjang63@gmail.com

Received 7 September 2013 Revised 11 April 2014 Accepted 27 October 2014

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 the surgical success rate of silicone tube intubation according to the preoperative lacrimal syringing test and dacryocystography (DCG) in adult patients with epiphora.

Methods

Medical records of 142 patients who underwent silicone tube intubation were retrospectively reviewed. The surgical results were divided into 3 groups based on postoperative symptoms and the syringing test results: Good, Fair, and Fail. Good and Fair were classified into the surgical success groups. We compared the surgical success rate according to the preoperative syringing test and stenosis site observed on dacryocystography.

Results

The success rates of silicone tube intubation were 88.4% and 87.4% in eyes with preoperative syringing results of totally-passed and partially-passed syringing tests, respectively, revealing no statistically significant differences (p = 0.838, chi-square test). However, in eyes with the preoperative syringing results of partially-passed syringing tests, the success rates were 66.7% in patients with canalicular stenosis, 83.3% in patients with nasolacrimal duct stenosis, and 94.5% in those with diffuse stenosis (p = 0.018, chi-square test).

Conclusions

No significant differences were found in the success rates of silicone tube intubation according to preoperative syringing test results. However, when considered together with DCG findings, the lowest success rate was found in eyes with the partially-passed syringing test and simultaneously showed canalicular stenosis on DCG. The syringing test results considered with DCG findings may help predict the success rates of silicone tube intubation.

Keywords: Dacryocystography, Silicone tube intubation, Success rate, Syringing test

References

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Figure 1.

Representative photographs of dacryocystography (DCG) images. (A) Canalicular stenosis. (B) Nasolacrimal duct stenosis. (C) Both canalicular and nasolacrimal duct stenosis.

Table 1.

Patient demographics

Characteristics	173 eyes in 142 patients
Sex
Male (%)	44 eyes in 37 patients (25.4)
Female (%)	129 eyes in 105 patients (74.6)
Age (years)	57.0 ± 10.2
Duration of intubation (months)	6.36 ± 3.44
Follow up period (months)	8.10 ± 7.57

Values are presented as mean ± SD unless otherwise indicated.

Table 2.

Success rates according to syringing tests (n = 173)

Syringing test	Success rate	p-value^∗
Complete passing	88.4% (76/86)	0.838
Partial passing	87.4% (76/87)

^∗ Chi-square test.

Table 3.

Success rates according to the stenosis site in dacryocystography (n = 155)

Site of stenosis	Success rate	p-value^∗
Canalicular stenosis	80.0% (20/25)	0.351
Nasolacrimal duct stenosis	87.5% (7/8)
Canalicular + nasolacrimal duct stenosis	90.2% (110/122)

^∗ Chi-square test.

Table 4.

Success rate according to the stenosis site by dacryocystography in complete passed eyes

Site of stenosis	N = 82	Success rate (%)	p-value^∗
Canalicular stenosis	13	92.3	0.734
Nasolacrimal duct stenosis	2	100
Canalicular + nasolacrimal duct stenosis	67	86.6

^∗ Chi square test.

Table 5.

Success rate according to the stenosis site by dacryocystography in partial passed eyes

Site of stenosis	N = 73	Success rate (%)	p-value^∗
Canalicular stenosis	12	66.7	0.018
Nasolacrimal duct stenosis	6	83.3
Canalicular + nasolacrimal duct stenosis	55	94.5

^∗ Chi square test.

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