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Treatment of the Lacrimal Fistula with Punctal Plug
±èÇöÈ£ ( Kim Hyun-Ho ) - Á¦ÀϾȰúº´¿ø
Á¤º´Áø ( Jeong Byung-Jin ) - Á¦ÀϾȰúº´¿ø
½Åµ¿¼ö ( Shin Dong-Su ) - Á¦ÀϾȰúº´¿ø
À̱Կø ( Lee Kyoo-Won ) - Á¦ÀϾȰúº´¿ø
Abstract
¸ñÀû: ´«¹°»û±æ Ä¡·á ½Ã Àü½Å¸¶Ã븦 ²¨¸®´Â ¼Ò¾Æ³ª, ÄÚ´«¹°°ü¸·ÈûÀÌ µ¿¹ÝµÇ¾î ÄÚ°æÀ¯ ³»½Ã°æÇÏ Äھȴ«¹°ÁÖ¸Ó´Ï¿¬°á¼úÀ» ½ÃÇàÇÒ ¶§ ÇǺηΠ»óó°¡ ³ª±â¸¦ ¿øÄ¡ ¾Ê´Â ¼ºÀΠȯÀÚ¿¡¼ ´«¹°Á¡¸¶°³¸¦ ÀÌ¿ëÇÑ Ä¡·á¸¦ ½ÃÇàÇϰí È¿°ú ¹× ÇÕº´Áõ¿¡ ´ëÇØ ¾Ë¾Æº¸¾Ò´Ù.
´ë»ó ¹× ¹æ¹ý: 2005³â 1¿ùºÎÅÍ 2005³â 5¿ù±îÁö ´«±¸¼® ÇǺο¡ ´«¹°È긲À» ÁÖ¼Ò·Î ³»¿øÇÏ¿© ´«¹°»û±æ·Î Áø´ÜµÈ ¼Ò¾Æ 2¸í°ú ÄÚ´«¹°°ü¸·ÈûÀ» µ¿¹ÝÇÑ ¼ºÀÎ 2¸íÀ» ´ë»óÀ¸·Î ÇÏ¿´´Ù. ¸¶Ã븦 ÇÏÁö ¾Ê°í ´«¹°±æ´õµëÀÚ¸¦ ÀÌ¿ëÇÏ¿© ´«¹°»û±æÀ» È®ÀÎ ÈÄ(Fig. 1A), ´«¹°Á¡¸¶°³¸¦ ¿Ü°ü»ó °üÂûµÇÁö ¾Êµµ·Ï ¾ÈÀ¸·Î ±í¼÷ÀÌ »ðÀÔÇÏ¿´´Ù(Fig. 1B, C).
°á°ú: Àüü ´ë»óȯÀÚÀÇ Æò±Õ °üÂû±â°£Àº 6.8°³¿ùÀ̾ú°í ¼Ò¾Æ 2¸í¿¡¼´Â µ¿¹ÝµÈ ÄÚ´«¹°°ü ¸·ÈûÀº ¾ø¾úÀ¸¸ç ½Ã¼ú ÈÄ ´«¹°»û±æÀ» ÅëÇÑ ´«¹°È긲ÀÌ ¼Ò½ÇµÇ¾ú´Ù. ¼ºÀÎ 2¸íÀº ÄÚ´«¹°°ü ¸·ÈûÀ» µ¿¹ÝÇÏ¿© ÄÚ°æÀ¯ ³»½Ã°æÇÏ Äھȴ«¹°ÁÖ¸Ó´Ï¿¬°á¼úÀ» µ¿½Ã¿¡ ½ÃÇàÇÏ¿© È£ÀüµÇ¾ú´Ù. ¼Ò¾Æ ȯÀÚ 1·Ê¿¡¼ ½Ã¼ú 3°³¿ù ÈÄ ´«¹°Á¡¸¶°³°¡ ºüÁ³À¸³ª ´õ Å« ´«¹°Á¡¸¶°³¸¦ Àç»ðÀÔÇÏ¿© Áõ»óÀÌ È£ÀüµÇ¾ú´Ù. ±× ¿Ü ´Ù¸¥ ÇÕº´ÁõÀº ¾ø¾ú´Ù.
°á·Ð: ÀûÀýÇÑ Å©±âÀÇ ´«¹°Á¡¸¶°³¸¦ ´«¹°»û±æ ¾ÈÀ¸·Î »ðÀÔÇÏ¿© »û±æÀ» ÅëÇÑ ´«¹°È긲À» È£Àü½Ãų ¼ö ÀÖ¾úÀ¸¸ç, ¼Ò¾ÆÀÇ °æ¿ì Àü½Å¸¶ÃëÀÇ ½Ã±â¸¦ ´ÊÃâ ¼ö ÀÖ°í, ¼ºÀο¡¼´Â ÇǺθ¦ Àý°³ÇÏÁö ¾Ê´Â ³»½Ã°æ¼ö¼ú°ú µ¿½Ã¿¡ ½ÃÇàÇÏ¿© ÈäÅ͸¦ ³²±âÁö ¾Ê´Â ÀåÁ¡ÀÌ ÀÖ¾ú´Ù. <ÇѾÈÁö 48(4):589-592, 2007>
Purpose: To evaluate the results and complications of the punctal plug insertion through lacrimal fistula.
Methods: Four patients diagnosed with congenital lacrimal fistula had a punctual plug inserted through the lacrimal fistula without anesthesia from January to May 2005.
Results: Mean follow-up period was 6.8 months. In two pediatric patients whose mean age was 5.0 years, the fistula was not associated with nasolacrimal duct. In two adult patients, it was associated nasolacrimal duct obstruction, whose mean age was 49.0 years. In all cases epiphora improved. There was a puncal plug prolapse in one case and no other complications.
Conclusion: Punctal plug insertion is considered a simple and useful technique for lacrimal fistula without congenital nasolacrimal obstruction in children especially whose parents refuse general anesthesia. Punctal plug insertion can be useful to reduce scarring in adult patients that receive endoscopic dacryocystorhinostomy with nasolacrimal obstruction. J Korean Ophthalmol Soc 48(4):589-592, 2007
Ű¿öµå
Congenital Lacrimal fistula;Punctal plug
KMID :
0360220070480040589
DOI :
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