눈물소관 폐쇄 치료를 위한 눈물길 원형절제술의 효과
The Effectiveness of Lacrimal Trephination for the Treatment of Canalicular Obstruction
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목적: 눈물소관 폐쇄 치료에 있어서 눈물길 원형절제술의 효과에 대해 알아보려 한다. 대상과 방법: 2005년 12월부터 2009년 10월까지 눈물흘림을 주소로 본원에 내원한 환자 중 눈물소관 폐쇄가 있어 눈물길 원형절제술및 실리콘관 삽입술을 시행 받은 환자를 대상으로 후향적 의무기록 분석과 전화 면접을 시행하였다. 29명 38안을 대상으로 수술 전후눈물흘림 정도를 Munk’s scale로 등급화하여 기능적 호전 정도를 살펴보았고, 수술 후 관류 검사로 해부학적 호전 정도를 알아보았다. 결과: 평균 73.7%의 성공률을 보였으며(grade 0, 또는 1), 68.4%에서는 눈물흘림이 완전히 해소되었다(grade 0). 해부학적 호전은 평균81.6%로 측정되었다. 결론: 눈물소관 폐쇄 치료에 있어서 눈물길 원형절제술은 매우 간단하며 효과적인 치료 방법으로 침습적인 결막눈물주머니코안연결술전 손쉽게 시도해 볼 수 있는 방법이다.
Abstract
Purpose: To determine the effectiveness of lacrimal trephination to treat canalicular obstruction. Methods: Silicone intubation following lacrimal trephination was performed in 38 eyes of 29 patients with epiphora due to canalicular obstruction between December 2005 and October 2009. Medical records were retrospectively reviewed and telephone interviews were performed. The severity of epiphora was graded by Munk's scale, and anatomical improvement was evaluated by postoperative probing and syringing. Results: The procedure was successful in 73.7% of the cases (grade 0 or 1), and 68.4% of the eyes had complete resolution of epiphora (grade 0). The anatomical success rate was 81.6%. Conclusions: Lacrimal trephination is a simple and effective treatment for canalicular obstructions. Therefore, lacrimal trephination could be performed prior to attempting an invasive conjunctivodacryocystorhinostomy.
참고문헌 (14)
- Steinsapir KD, "A 16-year study of conjunctival dacryocystorhinostomy", Am J Ophthalmol, 109, pp.387~393 (1990)
- Khoubian JF, "Trephination and silicone stent intubation for the treatment of canalicular obstruction effect of the level of obstruction", Ophthal Plast Reconstr Surg, 22, pp.248~252 (2006)
- Jones LT, "The cure of epiphora due to canalicular obstruction or trauma and surgical failures of the lacrimal passage", Trans Am Acad Ophthalmol Otolaryngol, 66, pp.506~524 (1962)
- Rosen N, "Patient dissatisfaction after functionally successful conjunctivodacryocystorhinostomy with Jones tube", Am J Ophthalmol, 117, pp.636~642 (1994)
- Sekhar GC, "Problems associated with conjunctivodacryocystorhinostomy", Am J Ophthalmol, 112, pp.502~506 (1991)
- Bartley GB, "Complications of malpositioned Jones tubes", Am J Ophthalmol, 109, pp.66~69 (1990)
- Welham RA, "Canalicular obstruction and the Lester-Jones tube what to do when all else fails", Trans Ophthalmol Soc U K, 93, pp.623~632 (1973)
- Sisler HA, "New minitrephine makes lacrimal canalicular rehabilitation an office procedure", Ophthal Plast Reconstr Surg, 6, pp.203~206 (1990)
- Sisler HA, "A new ophthalmic microtrephine", Ophthalmic Surg, 21, pp.656~657 (1990)
- Park BS, "Treatment of common canalicular obstruction using lacrimal trephine", J Korean Ophthalmol Soc, 39, pp.1077~1081 (1998)
- Munk PL, "Epiphora treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus", Radiology, 177, pp.687~690 (1990)
- Jones LT, "Lacrimal surgery", pp.129~135 (1976), CV Mosby
- Burger D, "Conjunctivo-dacryocystorhinostomy curse or cure", Trans Ophthalmol Soc N Z, 36, pp.59~60 (1984)
- Nissen JN, "Conjunctivorhinostom", Acta Ophthalmol, 65, pp.30~36 (1987)