Application of modified silicon tube intubation in repair of canalicular laceration
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    Abstract:

    AIM: To assess the efficacy of modified silicon tube in treating canalicular laceration.

    METHODS:Silicon tube of 0.3mm×0.6mm in diameter was used to treat 24 patients with newly occurred lacrimal canaliculi rupture. Other 24 patients treated with regular tube were served as control. The mean follow-up was 1.5 years.

    RESULTS:Patients treated with modified tube showed good stability. During follow-up, lacrimal passage was clear and tear drainage maintained unobstructed. In control group, irritation occurred before tube drawing, e.g. foreign body sensation, lachrymation, hyperemia, excessive exudates. The rate of complication between modified treatment group and control group was 4.2%(1/24)and 33.3%(8/24), respectively. The difference was statistically significant(P<0.01). The cure rate between the two groups was 91.7%(22/24)and 62.5%(15/24), respectively, after tube drawing(P<0.05).

    CONCLUSION: Treatment ofcanalicular laceration using modified silicon tube shows good efficacy, favorable patient compliance, thus can be a new effective treatment.

    Reference
    1 Wang L,Chen D,Wang Z.New technique for lacrimal system intubation. Am J Ophthalmol 2006; 142(2):252-258
    2 Liang X,Lin Y,Wang Z, et al. A modified bicanalicular intubation procedure to repair canalicular lacerations using silicone tubes. Eye(Lond) 2012; 26(12):1542-1547
    3 Kurihashi K.Canalicular reconstruction for difficult cases: lacrimal stents and multiple traction sutures. Ophthalmologica 1995; 209(1):27-36
    4 唐晓昭,廖志强.两种硅胶管环状支撑在泪小管断裂修复术中的临床分析.四川医学 2004; 25(5):532-533
    5 潘晓晶,祝海,赵桂秋,等.泪小管断裂吻合术后三种硅胶管留置方式的比较.中国实用眼科杂志 2005; 23(12):1302-1303
    6罗红,范寒桂,陈贵芹.硅胶环管支撑泪小管断裂吻合术.眼外伤职业眼病杂志 2001; 23(4):430-431
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Jiang-Shan Cai, Fa-Zhong Li. ,/et al.Application of modified silicon tube intubation in repair of canalicular laceration. Guoji Yanke Zazhi( Int Eye Sci) 2013;13(8):1703-1705

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Publication History
  • Received:March 14,2013
  • Revised:July 16,2013
  • Online: July 29,2013