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Ryu, Suh, and Ahn: Lateral Tarsal Strip Procedure and Silicone Tube Intubation on the Functional Nasolacrimal Duct Obstruction
Original Article
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2010; 51(9): 1174-1178.

Published online: 30 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.9.1174

Lateral Tarsal Strip Procedure and Silicone Tube Intubation on the Functional Nasolacrimal Duct Obstruction

Won Yeol Ryu, MD, Ji Young Suh, MD, Hee Bae Ahn, MD, PhD

Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea.

Address reprint requests to Hee Bae Ahn, MD, PhD. Department of Ophthalmology, Dong-A University Medical Center, #3-1 Dongdaeshin-dong, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5222, Fax: 82-51-254-1987, hbahn@dau.ac.kr

Received 4 June 2010       Accepted 1 July 2010

Copyright © 2010 The Korean Ophthalmological Society

Abstract

Purpose

To compare the effects of the lateral tarsal strip procedure alone and the lateral tarsal strip procedure combined with silicone tube intubation in the treatment of functional lacrimal duct obstruction.

Methods

The present study investigated 27 eyes of 20 patients underwent lateral tarsal strip procedure (LTS) alone and 29 eyes of 18 patients underwent combined lateral tarsal strip procedure and silicone tube intubation and who were diagnosed with functional lacrimal duct obstruction. The authors retrospectively reviewed patients' medical records for information including age, gender, history, follow-up period, tear meniscus height (TMH), and symptoms.

Results

The average age of the LTS alone group was 60.3 years, and that of the combined groups was 65.9 years. The TMHs in the LTS only and combined operation groups were 0.62 ± 0.23 mm and 0.62 ± 0.19 mm before the operation and 0.43 ± 0.20 mm and 0.26 ± 0.09 mm after the operation, respectively. The postoperative improvement in epiphora was 74.1% after the LTS alone and 86.2% after combined LTS with silicone tube intubation. The postoperative improvement in epiphora and the operative technique of the lateral tarsal strip-canthus sparing or cantholysis were not relevant.

Conclusions

Lateral tarsal strip combined with silicone tube intubation appeared useful in the treatment of epiphora patients without anatomic lacrimal duct obstruction. Determining which operative technique of lateral tarsal strip procedure should be chosen is difficult, and the preoperative syringing and snap back test may be helpful.

Keywords: Canthus-sparing ectropion repair, Lacrimal pump, Lateral tarsal strip procedure, Lower lid laxity, Silicone tube intubation

Figures and Tables

Table 1
Preoperative and postoperative tear meniscus heights
jkos-51-1174-i001

*Preop = preoperative; †Postop = postoperative; ‡Mann-Whitney U test; §Wilcoxon singned rank test.

Table 2
Postoperative improvement of epiphora
jkos-51-1174-i002

*Improvement of symptom : Grade 1 or 2.

1 = no epiphora; 2 = improved but intermittent epiphora; 3 = no change; 4 = aggravated.

Table 3
Comparison of postoperative improvement of epiphora for operative technique of lateral tarsal strip
jkos-51-1174-i003

*Improvement of symptom : Grade 1 or 2.

Grade 1 = no epiphora; Grade 2 = improved but intermittent epiphora; Grade 3 = no change; Grade 4 = aggravated.

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