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- 주제어 : Punctal obstruction (검색결과 4 건)
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눈물점폐쇄 환자에서 눈물점성형술과 실리콘관삽입술의 효과 비교
최창욱,서상우,김상덕,Chang Uk Choi,Sang Woo Seo,Sang Duck Kim 대한안과학회 2008 대한안과학회지 Vol.49 No.4
Purpose: To compare surgical results of two patient groups with punctal obstruction. One group underwent punctoplasty while the other group underwent silicone tube intubation. Methods: We compared postoperatively 48 eyes of 37 patients with punctal obstruction within and after one year of the procedure. 24 eyes of 17 patients had punctoplasty and 24 eyes of 20 patients had silicone tube intubation by the same surgeon. Results: Upon follow-up within one year after the punctoplasty, 13 eyes (54%) showed no epiphora, nine eyes (38%) showed intermittent epiphora, and two eyes (8%) showed persistent epiphora. However, after silicone tube intubation, 20 eyes (83%) showed no epiphora, three eyes (13%) showed intermittent epiphora, and one eye (4%) showed persistent epiphora. Over one year after the punctoplasty, one eye (4%) showed no epiphora, 19 eyes (78%) showed intermittent epiphora, and four eyes (17%) showed persistent epiphora. However, after the silicone tube intubation, 17 eyes (71%) showed no epiphora, six eyes (25%) showed intermittent epiphora, and one eye (4%) showed persistent epiphora. Conclusions: Silicone tube intubation is more effective than punctoplasty in the long term treatment of punctal obstruction. J Korean Ophthalmol Soc 49(4):543-547, 2008
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눈물점 폐쇄에서 눈물점성형술과 Pigtail Probe를 이용한 실리콘관삽입술의 효과
김인근,김상수,In Geun Kim,MD,Sang Soo Kim,MD 대한안과학회 2012 대한안과학회지 Vol.53 No.9
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. J Korean Ophthalmol Soc 2012;53(9):1219-1225
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결막눈물주머니코안연결술에서 주머니 끈 봉합법의 존스관 고정 효과
이태수,이화 대한안과학회 2008 대한안과학회지 Vol.49 No.10
Purpose: To evaluate the usefulness of Jones tube fixation using a purse-string suture, and to minimize postoperative conjunctival incarceration into the collar opening of the tube and extrusion or intrusion of the tube in the early postoperative period. Methods: Thirty-five conjunctivodacryocystorhinostomy (CDCR) with tube fixation by purse-string suture were performed over the period of 1 year with a mean follow-up of 8.3 months. At the end of endoscopic CDCR procedure, to secure the tube in both the surrounding conjunctiva and tissues in the canthus, a 5-0 Vicryl suture was passed through the conjunctiva and Tenon’s capsule just lateral to the collar of the tube and then tied around the collar of the tube in the fashion of a purse string. Finally, it was externalized to the skin of the canthal area where it was fixed. The suture was left alone if it did not cause problems postoperatively. Results: Of 35 cases, there were no cases of intrusion of the tube or clogging of the tube with the conjunctiva at 6 months postoperatively. Partially extrusion was found in only two cases at 6 and 9 months postoperatively. One case of inadvertent tube retrieval was noted while irrigating the tube at postoperative 1 month. Conclusions: This procedure is a simple and superior way of fixing a Jones tube to maintain tube position during the early postoperative period. J Korean Ophthalmol Soc 2008;49(10):1553-1558
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무세포성 진피 동종 이식편을 이용한 무안구성 결막낭 수축의 치료
오동은,김윤덕,Dong-Eun Oh,Yoon-Duck Kim 대한안과학회 2008 대한안과학회지 Vol.49 No.3
`Purpose: To study the use of acellular dermal allografts for the reconstruction of contracted anophthalmic sockets. Methods: A retrospective analysis was performed on 12 patients with contracted sockets who underwent reconstructive surgery using acellular dermal allografts from 2002 to 2006. Results: The mean age of the patients was 44.4 years. The mean duration of conjunctival sac contracture after removal of the eyeball was 21.4 years. In 4 patients, acellular dermal allografts were used as spacer grafts to elevate the eyelids, and in 8 patients the allografts were used as a conjunctival grafting material. All patients were able to wear ocular prostheses comfortably 2.2 months after surgery with acceptable cosmesis. There were no serious complications, such as infections or graft rejections during follow-up period. Conclusions: When used as conjunctival grafting materials and tarsal substitutes to elevate patients’ eyelids, acellular dermal allografts gave cosmetically and functionally acceptable results in the surgical rehabilitation of contracted sockets.`
KCI
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