Teope Jonnah Kristina, Someda Steffani Krista, Takahashi Yasuhiro
Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, JPN.
Cureus. 2024 Apr 22;16(4):e58726. doi: 10.7759/cureus.58726. eCollection 2024 Apr.
We retrospectively reviewed the medical records of all patients diagnosed with lacrimal canalicular wall dehiscence/thinning from January 2020 to January 2024 and found three patients. Two patients were male, and the other patient was female. Patient ages ranged from 53 to 82 years. None of the patients had a history of ocular trauma, congenital anomaly, or other ocular diseases except for cataract. All patients complained of epiphora, and the duration of symptom ranged from 15 months to 10 years. Unilateral involvement of the lower canaliculus and isolated single wall involvement affecting only the canalicular roof were observed in all patients. The roof was dehiscent in one case and thinned out in the other two cases. The dehiscent canaliculus was closed by sutures, and the thinned-out canalicular wall of one patient was covered using a conjunctival flap. However, recurrences were noted at two and five months after surgery.
我们回顾性分析了2020年1月至2024年1月期间所有诊断为泪小管壁裂开/变薄的患者的病历，共发现3例患者。其中2例为男性，1例为女性。患者年龄在53至82岁之间。除白内障外，所有患者均无眼外伤、先天性异常或其他眼部疾病史。所有患者均主诉溢泪，症状持续时间为15个月至10年。所有患者均观察到下泪小管单侧受累且仅累及泪小管顶壁的孤立单壁受累情况。其中1例泪小管顶壁裂开，另外2例变薄。裂开的泪小管通过缝合关闭，1例患者变薄的泪小管壁采用结膜瓣覆盖。然而，术后2个月和5个月均出现复发。
