다이오드 레이저를 사용한 눈물소관경유 눈물주머니코안연결술의 수술 결과

• 영문명: The Long-Term Results of Transcanalicular Dacryocystorhinostomy with a Diode Laser
• 발행기관: 대한안과학회
• 저자명: 정희영 김명진 이상언,Heeyoung Chung, MD, Myungjin Kim, MD, Sangun Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number9, 1019~1023쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2011.09.15

영문 초록

Purpose: This study evaluated the clinical outcomes of transcanalicular laser-assisted dacryocystorhinostomy (TCL-DCR) using a diode laser in patients with nasolacrimal duct obstruction (NLDO). Methods: A total of 71 patients (76 eyes) who underwent TCL-DCR between May 2004 and April 2010 were analyzed. The functional and anatomic success rates were evaluated and the causes of failure were analyzed. Results: The anatomic and functional success rates in primary TCL-DCR were 73.9% (51 of 69 eyes) and 62.3% (43 of 69), respectively. The causes of failure were membranous obstruction in 50.0% of the cases, granuloma formation in 38.9%, synechia formation in 5.6%, and canalicular stenosis in 5.6%. The anatomic and functional success rates were both 42.9% (3 of 7eyes) after TCL-DCR revision. Conclusions: The success rate of TCL-DCR is relatively comparable to that of conventional surgery. Additionally, the advantages of the procedure are its minimal invasiveness and convenience in an outpatient setting, suggesting that TCL-DCR may be an effective procedure for primary and secondary NLDO. J Korean Ophthalmol Soc 2011;52(9):1019-1023

키워드

Nasolacrimal duct obstruction, Transcanalicular diode laser-assisted dacryocystorhinostomy