개방성 눈물 배출계를 가진 편측 눈물흘림 환자에서 눈물주머니 조영술 소견
Dacryocystographic Findings in Unilateral Epiphora with Patent Lacrimal Drainage System
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목적: 개방성 눈물 배출계를 가진 편측 눈물흘림 환자에서 눈물주머니 조영술을 통해 해부학적인 변화를 평가하고자 하였다. 대상과 방법: 2007년 10월부터 2011년 8월까지 눈물흘림을 주소로 안과를 방문한 환자들에 대한 임상 기록을 검토하였다. 개방성 눈물배출계를 가진 편측 눈물흘림 환자 38명을 대상으로 진행되었는데 남자는 10명, 여자는 28명이었다. 대상환자의 연령은 24세에서 72세까지 다양하였다. 결과: 눈물흘림이 있는 쪽에서는 78.9%, 증상이 없는 쪽에서는 47.4%에서 비정상적인 눈물주머니 조영술 검사 소견이 관찰되었다. 흔한 비정상적인 소견으로는 원위부 코눈물관 협착, 원위부 코눈물관 확장, 눈물주머니 확장이 관찰되었다. 결론: 눈물길 관류 검사에서 정상 소견을 나타내는 편측 눈물흘림 환자 가운데 많은 수에서 눈물 배출계의 형태학적인 변화가 관찰되었다. 눈물주머니 조영술은 이러한 환자들의 치료 방침을 결정하는데 중요한 역할을 할 것으로 기대한다.
Abstract
Purpose: To evaluate the morphologic change in the lacrimal drainage system using dacryocystography in patients with unilateral epiphora with patent lacrimal drainage system. Methods: Clinical records of patients referred to our clinic for epiphora between October 2007 and August 2011 were reviewed. The study group included 38 patients who had symptoms of unilateral epiphora with patent lacrimal drainage system. The studied patients included 10 males and 28 females with ages varying between 24 and 72 years. Results: Abnormal dacryocystographic findings in the tearing eye were 78.9% and abnormal dacryocystographic findings in the asymptomatic eye were 47.4%. Common abnormal findings included distal nasolacrimal duct stenosis, distal nasolacrimal duct dilatation and nasolacrimal sac dilatation. Conclusions: In many cases, morphologic change in the lacrimal drainage system was observed in patients with unilateral epiphora with patent lacrimal drainage system. Dacryocystographic findings may contribute in devising a treatment plan for these patients.
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