Fulcher T, O'Connor M, Moriarty P
Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
Br J Ophthalmol. 1998 Sep;82(9):1039-41. doi: 10.1136/bjo.82.9.1039.
BACKGROUND/AIMS: Silicone intubation has been shown to be successful in the management of epiphora in children. The effectiveness of this procedure was assessed in adults.
70 eyes from 53 patients underwent nasolacrimal intubation. Mean age at intubation was 54.7 years. Mean follow up period was 15 months. The results were based on improvement of symptoms.
Complete resolution of symptoms was reported in 54.3%. A partial improvement was reported in 14.3%, a transient improvement in 10%, and no improvement in 21.4%. A better outcome was associated with canalicular than with nasolacrimal obstructions (complete resolution of symptoms in 75.9% versus 25%). Only 17.1% have subsequently required dacryocystorhinostomies.
Silicone intubation of the nasolacrimal system is a successful procedure in the management of adult epiphora.
背景/目的：硅胶插管已被证明在治疗儿童泪溢方面是成功的。本研究评估了该手术在成人中的有效性。
53例患者的70只眼睛接受了鼻泪管插管。插管时的平均年龄为54.7岁。平均随访期为15个月。结果基于症状的改善情况。
54.3%的患者症状完全缓解。14.3%的患者部分改善，10%的患者短暂改善，21.4%的患者无改善。泪小管阻塞患者的预后优于鼻泪管阻塞患者（症状完全缓解率分别为75.9%和25%）。仅有17.1%的患者随后需要进行泪囊鼻腔吻合术。
鼻泪管系统硅胶插管术是治疗成人泪溢的一种成功手术。
