눈물점 협착 환자에서 고주파 수술기구를 이용한 눈물점 성형술의 효과
Punctoplasty Using a Radiofrequency Surgical Unit for Punctal Stenosis
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목적: 눈물점 협착 환자를 대상으로 시행한 고주파 수술기구를 이용한 눈물점 성형술의 효과에 대해 알아보았다. 대상과 방법: 눈물흘림을 호소하는 환자들 중 세극등으로 눈물점 협착이 확인되며 눈물점 이후 눈물길에 이상이 없는 경우, 고주파수술기구(Ellman Surgitron F.F.P.F radiofrequency surgical unit)를 이용하여 눈물점 성형술을 시행하였다. 결과: 총 19명(남3명, 여16명), 31안으로, 시술 당시 평균 연령은 55 (±15.7)세, 평균 추적관찰기간은 7.9 (±5.7)개월이었다. 최종 추적관찰 시 눈물점은 27안(87%)에서 잘 유지되고 있었으며 관류검사상 식염수가 비강으로 통과하였다. 1안은 재협착, 3안은 폐쇄를 보였다. 염색약 소실 검사상 22안(71%)에서 대부분 눈물이 소실되는 결과(1+)를 보였다. 눈물흘림 증상은 25안(81%)에서 호전을 보였다. 수술 후 별다른 합병증은 관찰되지 않았다. 결론: 고주파 수술기구를 이용한 눈물점 성형술은 그 과정이 비교적 간단하며 기존의 절개 방식의 눈물점 성형술에 비해 떨어지지않는 성공률을 보이는 효과적인 방법으로 생각한다.
Abstract
Purpose: To introduce and assess the results of punctoplasty using a radiofrequency surgical unit for punctal stenosis. Methods: Patients who complained of epiphora, had an intact lacrimal pathway below puncti, and underwent punctoplasty with the Ellman Surgitron F.F.P.F were evaluated in the present study. Results: A total of 19 patients (31 eyes) were included in the study. The average age was 55 years (±15.7 years). At the last follow-up visit, 27 eyes (87%) had patent puncti, 1 eye became stenotic again, and 3 eyes were completely obstructed. Twenty-two eyes (71%) showed almost complete disappearance of dye on the fluorescein dye-disappearance test (FDDT). Twenty-five eyes (81%) had symptomatic improvement. No significant complication was reported postoperatively. Conclusions: Punctoplasty with a radiofrequency surgical unit is a simple and effective method for punctal stenosis.
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