Journal List > J Korean Ophthalmol Soc > v.52(1) > 1008868

Jeong and Ahn: Comparison of Dacryocystographic Results Before and After Silicone Intubation in Incomplete Nasolacrimal Duct Obstruction

Abstract

Purpose

To compare the dacryocystographic results before and after silicone tube intubation in partial nasolacrimal duct obstruction.

Methods

Dacryocystography was performed on 33 eyes of 17 patients diagnosed with partial nasolacrimal duct obstruction. The anteroposterior (AP) diameters and the mediolateral diameters of the nasolacrimal ducts intubated at the operation were measured by dacryocystography, before the operation and after silicone tube removal.

Results

The mean AP, mediolateral diameter and length of nasolacrimal duct in the group who demonstrated improvement after the operation was 2.32 mm, 1.39 mm, and 17.14 mm before the operation, and 2.40 mm, 1.77 mm, and 17.38 mm after the operation, respectively. The mean AP, mediolateral diameter and length of nasolacrimal duct in the group who demonstrated no symptomatic improvement was 2.06 mm, 1.28 mm, and 17.42 mm before the operation, and 2.75 mm, 1.99 mm, and 18.03 mm after the operation, respectively. The alteration of the nasolacrimal duct size in the group with successful postoperative results compared with unsuccessful postoperative results showed no significant difference.

Conclusions

The nasolacrimal duct showed expansion in size based on dacryocystographic results after silicone tube intubation in partial nasolacrimal duct obstruction. However, the operation results and the alteration of the nasolacrimal duct size based on dacryocystographic results demonstrated no accordance.

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Figure 1.
Dacryocystography. (Left) Mediolateral view. (Right) Anteroposterior view.
jkos-52-1f1.tif
Figure 2.
Comparison of anteroposterior width change between success group and failure group (p=0.813; repeated measures ANOVA).
jkos-52-1f2.tif
Figure 3.
Comparison of mediolateral width change between success group and failure group (p=0.838; repeated measures ANOVA).
jkos-52-1f3.tif
Figure 4.
Comparison of vertical length change between success group and failure group (p=0.489; repeated measures ANOVA).
jkos-52-1f4.tif
Table 1.
General characteristics of patients
Subject No. of patients (%)
Sex
  Male 5 (29.4)
  Female 12 (70.6)
Age (mean year ± SD) 63.79 ± 10.38
Duration of intubation (mon) 7.1 ± 0.88
Result
  Success 24 (72.7)
  Failure 9 (27.3)
Table 2.
Nasolacrimal duct width and length in success group
Preop (mm) Postop (mm) p-value
Anteropoterior width 2.32 ± 1.53 2.40 ± 0.97 0.539
Mediolateral width 1.39 ± 1.11 1.77 ± 0.86 0.032
Vertical length 17.14 ± 1.08 17.38 ± 1.72 0.274
Table 3.
Nasolacrimal duct width and length in failure group
Preop (mm) Postop (mm) p-value
Anteropoterior width 2.06 ± 1.05 2.75 ± 0.80 0.173
Mediolateral width 1.28 ± 0.55 1.99 ± 1.03 0.033
Vertical length 17.42 ± 0.86 18.03 ± 0.47 0.259
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