Seiff S R, Shorr N
Department of Ophthalmology, University of California, San Francisco 94143.
Am J Ophthalmol. 1988 Aug 15;106(2):204-9. doi: 10.1016/0002-9394(88)90836-7.
We reviewed 123 cases of orbital decompression in 63 patients with dysthyroid ophthalmopathy. Of 90 cases of transantral ethmoidal orbital decompression, 14 (16%) resulted in epiphora. The tearing began between 11 and 18 months after surgery. All patients had obstruction distal to the common internal punctum. The delayed onset suggested progressive cicatricial obstruction of the nasolacrimal drainage system. Damage to adjacent tissues probably caused scarring to extend into the system.
我们回顾了63例甲状腺相关眼病患者的123例眼眶减压手术病例。在90例经鼻窦筛窦眼眶减压手术中，14例（16%）出现了溢泪。溢泪在术后11至18个月开始出现。所有患者在内眦共同泪点远端均存在阻塞。延迟发作提示鼻泪引流系统存在进行性瘢痕性阻塞。相邻组织的损伤可能导致瘢痕延伸至该系统。
