Crush-massage to Ameliorate Lacrimal Sac Treating Congenital Obstruction of Nasolacrimal Duct
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Objective To explore the effects of crush-massage to ameliorate lacrimal sac treating congenital obstruction of nasolacrimal duct.Methods A retrospective review was made on the treatment of 34 cases (36 eyes) involving congenital obstructions of nasolacrimal duct from June 1991 to June 2005,and massage was done in the areas of lacrimal sac and Yingxiang point,then antibiotic eye drops and pastes were put.Results Of the 36 eyes in 34 cases,35 eyes in 33 cases were cured,the remaining one case was cured by using the therapy of bony sounding of the lacrimal passage.Conclusion Crush-massage to ameliorate lacrimal sac is easy to perform to cure congenital obstruction of nasolacrimal duct,which has no side effect and may be considered as first-choice.Keywords:
Lacrimal sac
Nasolacrimal duct
Nasolacrimal Duct Obstruction
Lacrimal apparatus
Lacrimal duct
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Objective observe the efficiency of artificial nasolacrimal duct implants for the treatment of lacrimal duct obstruction and evaluate the clinical use of its value.Methods Of 68 cases(76 eyes)with nasolacrimal duct obstruction and chronic dacryocystitis patients received artificial nasolacrimal duct implantation followed by retrograde expansion and its efficacy was analyzed.Results All 76 eyes were successfully implanted with artificial nasolacrimal duct,follow-up for 6-12 months,with a total effective rate was 97.3%.Conclusions The artificial nasolacrimal duct implantation operation is a simple,safe and effective with minimally invasive new treatment method for lacrimal duct obstruction,moreover it does not change the original anatomical structure,and the patient can tolerate well.
Key words:
Intervention; Artificial nasolacrimal duct; Lacrimal duct obstruction
Nasolacrimal duct
Lacrimal duct
Nasolacrimal Duct Obstruction
Lacrimal sac
Dacryocystitis
Chronic dacryocystitis
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Objective To study the lacrimal endoscopic treatment of nasolaerimal duet obstruction clinical efficacy.Methods Since February 2007 to November selected 52 eases (71 eyes)with nasolacrimal duct obstruction,under local anesthesia.Expansion and lacrimal puncture conventional endoscope lacrimal probing into tears Road,under a monitor screen to find nasolacrimal duet obstruction site.Central to micro-surgery and drilling, or laser removal of the obstruction, the lacrimal completely unobstructed,will be silicone tube inserted lacrimal nasolaerimal duet and fixed within the nasolaerimal duct.Results Nasolacrimal duct obstruction in patients with lacrimal endoscopic ring drill for the treatment, follow-up of 3-6 months, 69 cured, the cure rate was 97.1%.Coneluaian The lacrimal endoscope can be directly observed lacrimal internal situation and find obstructive sites can minimize damage to the treatment,rehabilitation nasolacrimal duct physiological structure, light reaction after clinical pateney rate is desirable treatment methods.
Key words:
Endoseoply; Nasolaerimal duet obstruction
Nasolacrimal Duct Obstruction
Lacrimal duct
Lacrimal sac
Endoscope
Cure rate
Nasolacrimal duct
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Objective To evaluate the clinical effects of nasolacrimal duct stent for the treatment of lacrimal duct obstruction.Methods Using Song 601 nasolacrimal duct stent,sets were placed in 185 cases(211 eyes)with lacrimal duct obstruction, through nasal cavity under topical anaesthesia.Results The technical success rate was 100%.During the follow up of 1 to 32 months,irrigation of duct stent found that 186eyes were unobstructed,the effective rate were 88%.Intra-and post-operative complications:pain of the lacrimal duct,hemorrhage,obstruction or fall of the stent,and lacrimation.Conclusion Intervental technique of nasolacrimal duct stent is a safe and effective procedure for lacrimal duct obstruction.it has the advantages of micro-invasive, short operation time and hospital stay after operation.
Key words:
Nasolacrimal duct stent ; Lacrimal duct obstruction ; Intervent ional therapy ;
Nasolacrimal duct
Lacrimal duct
Nasolacrimal Duct Obstruction
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Objective
To observe the clinical efficacy of silicone lacrimal drainage tube combined with retrograde stent tube placement for complex lacrimal duct obstruction.
Methods
Twenty-six eyes of 26 cases of complex lacrimal duct obstruction were observed, including 16 eyes with both lacrimal canaliculus and nasolacrimal duct obstruction, 7 eyes with lacrimal canaliculus stenosis and chronic dacryocystitis and 3 eyes with lacrimal canaliculus, common canaliculus and nasolacrimal duct obstruction.They underwent combined lacrimal duct operation. All patients were followed up for 3~12 months.Periodic irrigation of lacrimal passage after operation were conducted, and the tubes were extracted 3 months after surgery. Symptoms and lacrimal duct irrigation condition of patients was observed.
Results
All the 26 eyes were successfully operated without any complication during operation. Finally 21 eyes were cured (80.77%), 3 eyes improved (11.54%) and 2 eyes invalid (7.69%).
Conclusion
Combined antegrade and retrograde whole lacrimal duct intubation is reliable in treatment of complex obstruction of lacrimal ducts.
Key words:
Obstruction, lacrimal duct, complex; Intubation, whole lacrimal duct, antegrade, retrograde
Lacrimal duct
Lacrimal canaliculi
Nasolacrimal duct
Nasolacrimal Duct Obstruction
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Congenital nasolacrimal duct obstruction is the blockage of the lacrimal drainage system. It occurs in approximately 5 to 20% of normal newborn infants. A history of tearing and mucous or mucopurulent discharge and recurrent pink eye in a young child should alert the physician to the presence of nasolacrimal duct obstruction. Usually this condition is diagnosed clinically, though there are some investigations for precise diagnosis. Treatment is supportive and non surgical in 90 to 95% of cases, only 5 to 10% patients need surgical intervention. Outcome is good with minimal complications.
Nasolacrimal Duct Obstruction
Nasolacrimal duct
Lacrimal sac
Lacrimal duct
Dacryocystitis
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Objective To evaluate the efficacy of recessive placement of nasolacrimal stent in the treatment of nasolacrimal duct obstruction and factors affecting the prognosis of the procedure.Design Retrospective case series.Participants One hundred eighty six patients(207 eyes) with nasolacrimal duct obstruction.Methods One hundred eighty six patients(207 eyes) of nasolacrimal duct obstruction confirmed by dacryocystography had undergone recessive placement of nasolacrimal stent after probing and dilation of nasolacrimal duct.All patients received regular postoperative nasolacrimal duct syringe.Main Outcome Measures Status of postoperative lacrimal syringe.Results The stents were removed 3～12 months postoperatively,the patients were followed-up average 6 months.The operation success rate was 97.1%.167 eyes achieved complete success(80.7%).25 eyes became better(12.1%),and nasolacrimal duct obstructed again in 15 cases(7.2%).Conclusions Recessive placement of nasolacrimal stent combined with postoperative nasolacrimal duct syringe is a simple,effective and safe technique in the treatment of nasolacrimal duct obstruction.Selecting correct patients,skillful technique of nasolacrimal duct probing and regular postoperative syringing of nasolacrimal duct are the main factors of successful procedures.
Nasolacrimal duct
Nasolacrimal Duct Obstruction
Lacrimal sac
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Objective To investigate the curative effects of micro-trepan combined with silicone implantation treating obstruction of nasolacrimal duct under lacrimal duct endoscopy.Methods From February 2007 to November 2007,47 cases(62 eyes) with obstruction of nasolacrimal duct were selected.With micro-three channel lacrimal endoscopy,lacrimal mucosa and narrow site were dynamically observed;Micro-trepan was used to relief obstruction,and then the retrograde operation of silicone implantation was taken;Silicone duct was taken out 1 month to 3 months later;Lacrimal patency was observed under lacrimal endoscopy for 6 months following up.Results Fifty-nine eyes were cured(95.1%),2 eyes were improved(3.2%) and 1 eye was ineffective(1.6%) in all cases treated with micro-trepan combined with silicone implantation under lacrimal duct endoscopy.Conclusion Lacrimal duct endoscope can be used to observe tiny pathological changes in lacrimal duct.Micro-trepan can avoid the formation of false passage and damage to normal tissue under lacrimal duct endoscopy,which can directly operate at narrow or obstructed lacrimal duct,restore the physiological structure of nasolacrimal duct.Micro-trepan combined with sillcone implantation and observing under lacrimal duct endoscopy is an ideal method for treatment.
Lacrimal duct
Nasolacrimal duct
Endoscope
Nasolacrimal Duct Obstruction
Lacrimal sac
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Nasolacrimal Duct Obstruction
Lacrimal sac
Nasolacrimal duct
Balloon dilation
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Purpose:To compare the success rate of lacrimal sac massage and lacrimal sac massage with topical antibiotic (Tobramycin) in congenital nasolacrimal duct obstruction (CNLDO) in infant.Method: 60 patients were taken, aged from 2 to 12 months diagnosed with CNDLO (from Sept. 2015 to Dec. 2016) were included and divided into 2 equal groups; Group 1 advised for lacrimal sac massage only and Group 2-advised for lacrimal sac massage with topical antibiotic.Patient was followed up at regular intervals upto three months.Successful outcome was documented as complete remission of symptoms in subsequent visits following the conservative therepies.Results: Overall success rate of Group 1 (advised for lacrimal massage without topical antibiotic) was 80% and Success rate of Group-2 (advised for lacrimal sac massage with topical antibiotic) was 90%.Conclusion:Lacrimal sac massage with topical antibiotic is more effective conservative treatment for CNDLO than lacrimal massage alone.
Lacrimal sac
Nasolacrimal duct
Nasolacrimal Duct Obstruction
Lacrimal apparatus
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