Bleyen I, Paridaens A D A
The Rotterdam Eye Hospital, Department of Oculoplastic and Orbital Surgery, Schiedamsevest 180, 3011 BH Rotterdam, The Netherlands.
Bull Soc Belge Ophtalmol. 2008(309-310):23-6.
To assess the effectiveness of bicanalicular silicone intubation (SI) in acquired partial nasolacrimal duct (NLD) obstruction.
Retrospective nonrandomized case series
72 tear ducts from 53 patients with severe epiphora due to acquired partial NLD obstruction underwent bicanalicular SI. Mean age at intubation was 55.9 years. The silicone tubes were removed after, on average, 10.4 weeks. Mean follow up period was 29.3 months (range 6 to 66 months). The results were assessed using the Munk score: 0-1: complete success, 2: partial success and 3-4: failure.
Complete success was reported in 47% (31/66). Partial success was reported in 3% (2/66), and no improvement in 50% (33/66). 12% (8/66) was subsequently treated with dacryocystorhinostomy (DCR).
In patients with acquired partial NLD obstruction, we noted a low success-rate for bicanalicular SI. Although it may be considered in patients who refuse DCR surgery, the relatively poor outcome compared to DCR does not justify its systematic use for this indication.
评估双泪小管硅胶插管术（SI）治疗后天性部分鼻泪管（NLD）阻塞的有效性。
回顾性非随机病例系列
对53例因后天性部分NLD阻塞导致严重溢泪的患者的72条泪道进行双泪小管SI。插管时的平均年龄为55.9岁。硅胶管平均在10.4周后取出。平均随访期为29.3个月（范围6至66个月）。使用蒙克评分评估结果：0 - 1分：完全成功，2分：部分成功，3 - 4分：失败。
报告完全成功的占47%（31/66）。部分成功的占3%（2/66），无改善的占50%（33/66）。12%（8/66）随后接受了泪囊鼻腔吻合术（DCR）。
在后天性部分NLD阻塞患者中，我们注意到双泪小管SI的成功率较低。尽管对于拒绝DCR手术的患者可以考虑使用，但与DCR相比相对较差的结果并不足以证明其在此适应症上的常规使用是合理的。
