눈물점 폐쇄에서 눈물점성형술과 Pigtail Probe를 이용한 실리콘관삽입술의 효과
The Effect of Punctoplasty with Pigtail Probe for Canalicular Intubation in Patients with Punctal Obstruction
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목적: 눈물점 폐쇄 환자에서 눈물점성형술 이후 pigtail probe를 이용 눈물소관에 실리콘관을 삽입하는 방법의 성공률을 눈물점성형술의 성공률과 비교하였다. 대상과 방법: 눈물점 폐쇄로 진단받고 수술받은 61명을 대상으로 그 결과를 비교하였다. 눈물점 폐쇄 환자에서 눈물점확장술 후 염색약소실검사를 시행해 눈물 배출이 확인된 환자에서는 눈물점성형술 후 pigtail probe를 이용하여 눈물소관에 실리콘관을 삽입하는 방법을 사용하였고 눈물 배출이 확인되지 않는 환자에서는 눈물점성형술 후 코눈물관 실리콘관삽입술을 시행하였다. 결과: 1년 이상 경과 관찰한 경우에서 눈물점성형술만 단독으로 시행한 경우 9명(39.1%), 눈물점성형술 후 코눈물관에 실리콘관을 삽입한 경우 19명(79.2%), pigtail probe를 이용하여 눈물소관에 실리콘관을 삽입한 경우 12명(85.7%)에서 눈물흘림의 호전을 보였다. 결론: 눈물점 폐쇄 환자에서 pigtail probe를 이용한 눈물소관 실리콘관삽입술은 눈물점 재협착을 줄일 수 있는 효과적인 방법이라생각한다.
Abstract
Purpose: To assess the surgical results of a punctoplasty with insertion of a silicone tube using a pigtail probe for the management of acquired punctal obstruction. Methods: The medical records of 61 patients who underwent an operation for the management of punctual obstruction were reviewed. After punctal dilation, fluorescein dye disappearance test was performed to evaluate its efficacy. In the case of no functional delay after punctal dilation, three-snip punctoplasty with a silicone tube using a pigtail probe was performed. In the case of a functional delay, three-snip punctoplasty with a silicone tube into the nasolacrimal duct was performed. Results: The surgical success over 1 year was 39.1% in patients who underwent only three-snip punctoplasty, 79.2% in patients who underwent a three-snip punctoplasty with a silicone tube insertion into the nasolacrimal duct, and 85.7% in patients who underwent a three-snip punctoplasty with canalicular intubation using a pigtail probe. Conclusions: The use of a pigtail probe for canalicular intubation together with a three-snip punctoplasty is useful to prevent the recurrence of punctal obstruction.
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