Reifler D M
Surv Ophthalmol. 1991 Sep-Oct;36(2):113-32. doi: 10.1016/0039-6257(91)90125-y.
Although canalicular injuries are relatively common, controversy persists regarding indications for repair and the surgical methods that should be employed. In this review, these various treatment philosophies and techniques are analyzed in an historical and a contemporary context. The surgical anatomy, epidemiology and clinical presentation of canalicular injuries are discussed. Inconsistencies in current nomenclature regarding the surgical anatomy of canalicular lacerations are analyzed. Recent studies of lacrimal drainage in systems with monocanalicular obstruction are cited. Various surgical techniques in the repair of canalicular injuries are reviewed, including methods of identifying the medial lacerated lacrimal passages and the various lacrimal stents that have been used. The current popularity of silicone tubing as a lacrimal stent is reviewed. The various methods of stent placement and fixation are systematically categorized. Case series of canalicular repair reported in the literature are reviewed, and the results and complications are compared.
尽管泪小管损伤相对常见，但关于修复指征及应采用的手术方法仍存在争议。在本综述中，将在历史和当代背景下分析这些不同的治疗理念和技术。讨论了泪小管损伤的手术解剖、流行病学及临床表现。分析了当前关于泪小管撕裂伤手术解剖命名的不一致之处。引用了近期关于单泪小管阻塞系统泪液引流的研究。综述了泪小管损伤修复中的各种手术技术，包括识别内侧撕裂泪道的方法以及所使用的各种泪道支架。回顾了硅胶管作为泪道支架目前的应用情况。对支架置入和固定的各种方法进行了系统分类。回顾了文献中报道的泪小管修复病例系列，并比较了结果和并发症。
