Fayet B, Bernard J A, Ammar J, Karpouzas Y, Hamici S, Hamache F, Pouliquen Y
Service d'Ophtalmologie, Hôtel Dieu de Paris.
J Fr Ophtalmol. 1988;11(10):627-37.
From 1982 to 1987, surgery was performed in emergency in 262 patients on lacrimal ducts at the Hotel Dieu Hospital in Paris. The retrospective study of these cases and the comparison with the conclusion of the report of the French Society of Ophthalmology about the lacrimal apparatus (1980) can allow us a few conclusions. The first cause is assault in a 30 year old man, with a left lower canaliculus wound, and 20% of the cases an eye-penetrating wound. With the current use of safety belts, car-related injuries have become the second cause. Children are often bitten by family dogs. Upper lacrimal drainage wounds are associated in 40% of the cases with eye-penetrating wound, and must be repaired. Complications of intubation are: disappearance of silicone tubing 5%; loop retraction: 8%; slit canaliculus: 16% of the cases. This last complication becomes rarer with surgical experience. Concerning nasolacrimal intubation versus pig-tail probe, statistical results lead us to prefer the first technique.
1982年至1987年期间，巴黎迪厄医院对262例泪道疾病患者进行了急诊手术。对这些病例进行回顾性研究，并与法国眼科学会关于泪器的报告结论（1980年）进行比较，我们可以得出一些结论。首要病因是一名30岁男性受到攻击，左下泪小管受伤，20%的病例为眼球穿通伤。随着安全带的普及使用，与汽车相关的损伤已成为第二大病因。儿童常被家养宠物狗咬伤。40%的上泪道引流伤口伴有眼球穿通伤，必须进行修复。插管并发症包括：硅胶管脱落5%；环回缩8%；泪小管裂开16%。随着手术经验的增加，最后一种并发症越来越少见。关于鼻泪管插管与猪尾探针，统计结果使我们更倾向于第一种技术。
