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The outcome of silicone intubation and tube removal in external dacryocystorhinostomy patients with distal canalicular obstruction.
Eur J Ophthalmol. 2012 Nov-Dec; 22(6):878-81.EJ

Abstract

PURPOSE

To evaluate the outcome of silicone intubation and tube removal in external dacryocystorhinostomy (DCR) patients with distal canalicular or common canalicular obstruction.

METHOD

Seventy-five eyes of 69 patients with distal or common canalicular obstruction who had undergone external DCR and silicone tube insertion were included in the study. Silicone tube was left in place at least for 3 months. Presence of epiphora was questioned and patency was assessed by irrigation at each control after tube removal.

RESULTS

Mean patient age was 49.8±14.4 years (range 15-78) and mean follow-up after surgery was 13.2±4.2 months (range 6-25). After tube removal, 16 eyes (21.3%) presented with epiphora and occluded canalicular systems. Two eyes (2.7%) presented with epiphora which started just after tube removal and had a patent canalicular system. Fifty-seven eyes (76%) were free of symptoms and had patent canalicular systems and 3 of these eyes (4%) had epiphora while the tube was in place.

CONCLUSIONS

Silicone intubation is indicated in patients with distal or common canalicular obstruction. The majority of patients with canalicular problems are relieved of epiphora after silicone tube removal. However, the tube itself may transiently occlude the canalicular system and cause epiphora in some patients, and in some it can aid tear flow even in the presence of a patent system.

Authors+Show Affiliations

Eye Clinic, Haydarpasa Numune Education and Research Hospital, Istanbul - Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22388775

Citation

Buttanri, Ibrahim B., et al. "The Outcome of Silicone Intubation and Tube Removal in External Dacryocystorhinostomy Patients With Distal Canalicular Obstruction." European Journal of Ophthalmology, vol. 22, no. 6, 2012, pp. 878-81.
Buttanri IB, Serin D, Karslioglu S, et al. The outcome of silicone intubation and tube removal in external dacryocystorhinostomy patients with distal canalicular obstruction. Eur J Ophthalmol. 2012;22(6):878-81.
Buttanri, I. B., Serin, D., Karslioglu, S., Akbaba, M., Fazil, K., Acar, B., & Sevim, M. S. (2012). The outcome of silicone intubation and tube removal in external dacryocystorhinostomy patients with distal canalicular obstruction. European Journal of Ophthalmology, 22(6), 878-81. https://doi.org/10.5301/ejo.5000128
Buttanri IB, et al. The Outcome of Silicone Intubation and Tube Removal in External Dacryocystorhinostomy Patients With Distal Canalicular Obstruction. Eur J Ophthalmol. 2012 Nov-Dec;22(6):878-81. PubMed PMID: 22388775.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The outcome of silicone intubation and tube removal in external dacryocystorhinostomy patients with distal canalicular obstruction. AU - Buttanri,Ibrahim B, AU - Serin,Didem, AU - Karslioglu,Safak, AU - Akbaba,Muslime, AU - Fazil,Korhan, AU - Acar,Banu, AU - Sevim,Mehmet Sahin, Y1 - 2012/02/27/ PY - 2012/02/05/accepted PY - 2012/3/6/entrez PY - 2012/3/6/pubmed PY - 2016/1/12/medline SP - 878 EP - 81 JF - European journal of ophthalmology JO - Eur J Ophthalmol VL - 22 IS - 6 N2 - PURPOSE: To evaluate the outcome of silicone intubation and tube removal in external dacryocystorhinostomy (DCR) patients with distal canalicular or common canalicular obstruction. METHOD: Seventy-five eyes of 69 patients with distal or common canalicular obstruction who had undergone external DCR and silicone tube insertion were included in the study. Silicone tube was left in place at least for 3 months. Presence of epiphora was questioned and patency was assessed by irrigation at each control after tube removal. RESULTS: Mean patient age was 49.8±14.4 years (range 15-78) and mean follow-up after surgery was 13.2±4.2 months (range 6-25). After tube removal, 16 eyes (21.3%) presented with epiphora and occluded canalicular systems. Two eyes (2.7%) presented with epiphora which started just after tube removal and had a patent canalicular system. Fifty-seven eyes (76%) were free of symptoms and had patent canalicular systems and 3 of these eyes (4%) had epiphora while the tube was in place. CONCLUSIONS: Silicone intubation is indicated in patients with distal or common canalicular obstruction. The majority of patients with canalicular problems are relieved of epiphora after silicone tube removal. However, the tube itself may transiently occlude the canalicular system and cause epiphora in some patients, and in some it can aid tear flow even in the presence of a patent system. SN - 1724-6016 UR - https://www.unboundmedicine.com/medline/citation/22388775/The_outcome_of_silicone_intubation_and_tube_removal_in_external_dacryocystorhinostomy_patients_with_distal_canalicular_obstruction_ L2 - http://journals.sagepub.com/doi/full/10.5301/ejo.5000128?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -