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누소관 폐쇄 환자에서 눈물길 원형절제술 후 실시한 풍선관 누소관성형술과 실리콘관 삽입술의 효과
홍승우,최연경,양석우,Seung-Woo Hong,Yeun-Kyoung Choi,Suk-Woo Yang 대한안과학회 2005 대한안과학회지 Vol.46 No.5
Purpose: The purpose of this study was to assess the satety and effectiveness of lacrimal trephination and balloon dilatation in treatment of obstruction of the lacrimal canaliculus. Methods: Lacrimal trephination and subsequent balloon dilation was performed in 7 eyes of 7 consecutive patients with epiphora due to lacrimal canalicular obstruction and common canalicular obstruction. Results: The average age of patients was 50.3 years old and the average follow-up period was 17.7 months. Anatomical success was 7 of 7 eyes (100%) and functional success ,resolution of epiphora was 5 of 7 eyes (71%) Conclusions: Lacrimal trephination and subsequent ballooning canaliculoplasty in treatment of obstruction of the lacrimal canaliculus seems to be safe and valuable as an primary procedure before Jones tube bypass surgery.
최윤주,최웅철,양석우,최연경.Youn Joo Choi. M.D.. Woong Chul Choi. M.D.. Suk Woo Yang. M.D.. Yeun Kyoung Choi. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.1
Purpose: We report a case of orbital abscess secondary to acute dacryocystitis in which the patient had been cared for chronic dacryocystitis. Methods: A 59-year-old woman presented to our clinic with a history of chronic sinusitis from childhood and right chronic dacryocystitis treated for 6 years. She had sufferred from influenza 2 weeks previously and complained of painful lid swelling, limitation of ocular movement, exophthalmos, chemosis, and decreased vision of the right eye for 2 weeks. An orbital CT scan was taken and bacterial culture and sensitivity tests were done from the discharge. Results: CT scan showed inflammation and abscess formation around the right nasolacrimal duct orifice which was swollen and widened. Some of the inflammation tissues extended into the retrobulbar portion. Streptococcus pyogenous was cultured. Lid swelling, pain, exophthalmos, and visual acuity improved after external dacryocystorhinostomy, and surgical drainage. Conclusions: We should be careful in a case of acute dacryocystitis underlying chronic dacryocystitis as it easily causes complications, and in such a case early surgical management as well as antibiotics therapy is more effective.