ABSTRACT
· AIM:To observe the curative effect of different operative methods on acquired lacrimal point stenosis or adhesion,and to investigate the better treatment method for them.· METHODS:Totally 52 cases (72 eyes) suffered from acquired lacrimal point stenosis or adhesion,were divided into treatment group and control group by random number table,in which 27 cases (36 eyes) in treatment group were treated by modified tear incision combined with silicone tube implantation,25 cases (36 eyes) in control group were treated by silicone tube implantation.All cases were followed up for 12mo.· RESULTS:The total effective rate of the treatment group was 94％.The total effective rate of the control group was 78％.The difference between two groups was statistically significant (P＜0.05).Silicone tube shedded in two eyes in treatment group and three eyes in control group.The rate of silicone tube shedded in two was 6％ and 8％,respectively.The difference between two groups was not statistically significant (P＞0.05).None case had lacrimal point tear in two groups.· CONCLUSION:Modified tear point incision combined with silicone tube implantation is the better operative methods on acquired lacrimal point stenosis or adhesion.It is easily operating,less damage with quick recovery.And effective rate is high.
ABSTRACT
@#AIM: To observe the efficacy of two combined surgical methods in treatment of chronic dacryocystitis with upper lacrimal duct obstruction. <p>METHODS: Totally 68 cases(68 eyes)of chronic dacryocystitis with upper lacrimal duct obstruction were enrolled. They were randomly divided into Group A and Group B through random number table method, each group of 34 cases, Group A was treated with nasal endoscopic dacryocystorhinostomy combined with silicone tube implantation. Group B was treated with traditional dacryocystorhinostomy combined with silicone tube implantation. All patients were followed up for 1a. <p>RESULTS: In Group A, the total success rate was 82%, that in Group B was 79%. There were no significant difference between two groups' total success rate(<i>P</i>>0.05). The incidence of postoperative facial swelling in Group A was 6%. The facial scar incidence rate was 0. Those of Group B were 47% and 100%. The incidence of complications in Group A was significantly lower than that in Group B with significantly difference(<i>P</i><0.05). Rate of patients' satisfaction was 82% in Group A, and 59% in Group B, which of Group A was significantly better than group B(<i>P</i><0.05). <p>CONCLUSION: Canalicular intubation combined dacryocystorhinostomy using endoscopy is an ideal method in treatment of chronic dacryocystitis with upper lacrimal duct obstruction. It is safe, effective with less injury and less complication.