Mombaerts I, Colla B
Department of Ophthalmology, University Hospital Leuven, Catholic University Leuven, Kapucijnenvoer 33, 3000 Leuven, Belgium.
Ophthalmology. 2001 Apr;108(4):793-7. doi: 10.1016/s0161-6420(00)00637-0.
To evaluate the effect of partial surgical excision of enlarged lacrimal caruncles, termed megalocaruncles, in patients with epiphora from functional lacrimal drainage obstruction.
Retrospective, noncomparative, interventional case series.
From May 1995 through December 1999, 88 patients (46 women and 42 men; mean age, 68 years) with epiphora, patent lacrimal drainage system on irrigation, and a megalocaruncle underwent a partial lacrimal carunculectomy procedure. In 26 patients, a bilateral partial lacrimal carunculectomy was performed.
Lacrimal caruncular tissue, with its overlying mucosa, was partially excised, and the wound was closed with interrupted sutures.
Symptomatology and patient satisfaction.
After a partial lacrimal carunculectomy procedure, epiphora was subjectively improved in 77% of the patients, ranging from complete relief in 33% to significant improvement in 44% of the patients. Twenty-three percent of the patients had no change in symptoms. The mean follow-up was 12.7 months.
Megalocaruncles can be the cause of epiphora in patients with functional lacrimal drainage obstruction, for whom a partial lacrimal carunculectomy is an effective surgical procedure in 77% of the cases.
评估对因功能性泪道阻塞导致溢泪的患者行扩大泪阜（巨泪阜）部分手术切除的效果。
回顾性、非对照、干预性病例系列研究。
1995年5月至1999年12月期间，88例溢泪患者（46例女性，42例男性；平均年龄68岁），泪道冲洗时泪道系统通畅且有巨泪阜，接受了部分泪阜切除术。26例患者接受了双侧部分泪阜切除术。
部分切除泪阜组织及其覆盖的黏膜，伤口用间断缝线缝合。
症状学及患者满意度。
部分泪阜切除术后，77%的患者主观上溢泪症状得到改善，其中33%的患者完全缓解，44%的患者显著改善。23%的患者症状无变化。平均随访时间为12.7个月。
巨泪阜可能是功能性泪道阻塞患者溢泪的原因，对于此类患者，部分泪阜切除术在77%的病例中是一种有效的外科手术。
