Neuhaus R W
Department of Ophthalmology, University of Texas Health Science Center, San Antonio.
Ophthalmic Plast Reconstr Surg. 1989;5(4):256-60. doi: 10.1097/00002341-198912000-00005.
To assist in the repair of canalicular injuries, identification of the medial aspect of the canalicular laceration can easily be accomplished by retrograde probing and intubation of the medial canalicular remnant. A dacryocystotomy along the medial side of the nasolacrimal sac will allow direct visualization of the internal nasolacrimal sac anatomy and common internal punctum of the common canalicular system. A retrograde passage of a modified Quickert probe can then be accomplished through the dacryocystotomy incision into the common internal punctum and present in the traumatic wound, identifying the medial aspect of the canalicular laceration.
为协助修复泪小管损伤，通过对内侧泪小管残端进行逆行探查和插管，可轻松确定泪小管撕裂伤的内侧部分。沿鼻泪囊内侧进行泪囊切开术，可直接观察鼻泪囊内部解剖结构及共同泪小管系统的共同内泪点。然后，可通过泪囊切开术切口将改良的奎克特探针逆行插入共同内泪点并置于创伤伤口内，从而确定泪小管撕裂伤的内侧部分。
