AIM: To discuss the feasibility and clinical efficacy of combination of two kinds of silicone tubes implantation for treatment of acute dacryocystitis.

METHODS: Totally 63 eyes, suffering from acute dacryocystitis, were chosen from Huizhou First Hospital, and were randomly divided into two groups: group A(42 eyes)and group B(21 eyes). In group A, patients were implanted two kinds of silicone tubes to expand both superior and lower lacrimal passage after irrigation and anti-inflammatory therapy, and silicone tubes were removed 3-6 months later. Patients in group B were performed dacryocystorhinostomy after combination of surgical incision and drainage and anti-inflammatory therapy. All cases were then followed a clinical follow-up for 6-12 month, given irrigation of lacrimal passage regularly. We did statistical analysis to compare the effects and complications of two groups by way of Kruskal-Wallis Test or Chi-square test.

RESULTS: The effective standard was based on anatomical structure and function of lacrimal abscess. Results showed that complete remission rate in group A was significantly higher than that in group B, while failure rate in group A was significantly lower than that in group B, and complication rate in group A was significantly lower than that in group B, P<0.05.

CONCLUSION: Combination of irrigation of lacrimal passage and two kinds of silicone tubes implantation were effective to cure acute dacryocystitis, significantly better than traditional therapy, by which we can recover anatomical structure and function of lacrimal passage quickly, showing good long-term results.