Murube J, Murube E
Hospital Ramón y Cajal, Universidad de Alcalá, Madrid, Spain.
Surv Ophthalmol. 1996 May-Jun;40(6):463-80. doi: 10.1016/s0039-6257(96)82013-3.
Occlusion of the lacrimal canaliculi improves the objective signs and subjective symptoms of dry eye. In this review, methods of occlusion are classified as surgical, thermal and tamponade. Surgical methods include dacryocystectomy, canalicular ligature, canalicular offset, canalicular excision, transfer of the punctum to dry dock, punctal tarsorrhaphy and punctal patch. Thermal methods include cautery, diathermy and laser burn. Tamponade methods use absorbable inserts of hydroxypropyl cellulose, gelatin, collagen and catgut, and nonabsorbable inserts of silicone (punctum plugs, canalicular plugs), polyethylene, cyanoacrylate, and others. The characteristics of all these methods are analyzed.
泪小管阻塞可改善干眼的客观体征和主观症状。在本综述中，阻塞方法分为手术、热凝和填塞三类。手术方法包括泪囊切除术、泪小管结扎术、泪小管移位术、泪小管切除术、泪点转移至干涸区、泪点睑缘缝合术和泪点修补术。热凝方法包括烧灼、透热疗法和激光烧灼。填塞方法使用羟丙基纤维素、明胶、胶原蛋白和肠线等可吸收植入物，以及硅酮（泪点塞、泪小管塞）、聚乙烯、氰基丙烯酸酯等不可吸收植入物。对所有这些方法的特点进行了分析。
