Atkova E L, Yartsev V D, Krakhovetskiy N N
Krasnov Research Institute of Eye Diseases, Moscow, Russia.
Vestn Oftalmol. 2023;139(3. Vyp. 2):71-80. doi: 10.17116/oftalma202313903271.
The article summarizes the results of research conducted over the past decade concerning the current problems of dacryology, analyzes the improvements made to the methods of diagnostics used in disorders of lacrimal passages on the basis of modern imaging and functional studies, describes the techniques aimed at improving the clinical effectiveness of the intervention, as well as drug and non-drug methods of intraoperative prevention of excessive scarring in the area of the artificial ostium. The article also analyzes the experience of using balloon dacryoplasty in relapses of tear duct obstruction after dacryocystorhinostomy, and presents the modern minimally invasive surgical techniques, including nasolacrimal duct intubation, as well as balloon dacryoplasty and endoscopic plastic surgery of the ostium of the nasolacrimal duct. Additionally, the work lists the fundamental and applied tasks of dacryology and outlines promising directions of its development.
本文总结了过去十年关于泪器病当前问题的研究结果，基于现代影像学和功能研究分析了泪道疾病诊断方法的改进，描述了旨在提高干预临床效果的技术，以及人工造口区域术中预防过度瘢痕形成的药物和非药物方法。本文还分析了泪囊鼻腔吻合术后泪道阻塞复发时使用球囊泪道成形术的经验，并介绍了现代微创手术技术，包括鼻泪管插管、球囊泪道成形术以及鼻泪管造口的内镜整形手术。此外，该著作列出了泪器病的基础和应用任务，并概述了其发展的前景方向。
