Bartley G B
Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905.
Am J Ophthalmol. 1990 May 15;109(5):571-4. doi: 10.1016/s0002-9394(14)70688-9.
Seven patients who had the complete form of mandibulofacial dysostosis were examined to determine the prevalence of nasolacrimal abnormalities. Bilateral inferior punctal atresia (and, by implication, accompanying inferior canalicular atresia) was identified in all seven patients; a 95% confidence interval for the true underlying rate of this finding in mandibulofacial dysostosis is 59% to 100%. Lacrimal surgery was required in only one patient who had coexistent bilateral nasolacrimal duct obstruction and chronic dacryocystitis and who responded well to bilateral dacryocystorhinostomy.
对7例患有完全型下颌面骨发育不全的患者进行了检查，以确定鼻泪异常的患病率。在所有7例患者中均发现双侧下泪点闭锁（并由此推断伴有下泪小管闭锁）；在患有下颌面骨发育不全的患者中，这一发现的真实潜在发生率的95%置信区间为59%至100%。仅1例同时患有双侧鼻泪管阻塞和慢性泪囊炎且对双侧泪囊鼻腔吻合术反应良好的患者需要进行泪道手术。
