0
오늘 하루동안 보지 않기
잠시만 기다려 주세요. 로딩중입니다.
KMID : 0360220180590040301
대한안과학회지
2018년 59권 4호 p.301 ~ p.306
눈물주머니조영술에서의 눈물길 폐쇄 위치에 따른 코경유눈물주머니코안연결술의 효과
Surgical Outcomes of Endonasal Dacryocystorhinostomy According to the Level of Obstruction in Dacryocystography
배경화 ( Bae Kyoung-Hwa ) - 전북대학교 의학전문대학원 안과학교실

조남천 ( Cho Nam-Chun ) - 전북대학교 의학전문대학원 안과학교실
안민 ( Ahn Min ) - 전북대학교 의학전문대학원 안과학교실
- Abstract -
Purpose: The success of endonasal dacryocystorhinostomy was assessed according to the level of tear duct obstruction in dacryocystography.

Methods: Patients visited our clinic with the chief complaint of epiphora between January 2009 and September 2016 who received dacryocystography and were diagnosed with a total nasolacrimal obstruction. Among these patients, 128 eyes from 115 patients who received endonasal dacryocystorhinostomy were selected and their medical records from > 6-month follow-ups were analyzed retrospectively. The patients were divided into four groups according to the level of lacrimal passage obstruction in dacryocystography: common canaliculus obstruction as group 1, lacrimal sac obstruction as group 2, lacrimal sac-nasolacrimal duct junction obstruction as group 3, and nasolacrimal duct obstruction as group 4. Success and failure were determined according to symptom improvements after surgery.

Results: Among the total of 128 eyes, 19 eyes were categorized as group 1 (22.6%), 28 eyes as group 2 (21.9%), 28 eyes as group 3 (21.9%), and 43 eyes as group 4 (33.6%). Nasolacrimal duct obstruction was the most common condition. The success of endonasal dacryocystorhinostomy was 55.2% in group 1, 71.4% in group 2, 85.7% in group 3, and 86.1% in group 4. The surgical success of the patient group with common canaliculus obstruction was significantly lower than the surgical success of the lacrimal sac-nasolacrimal duct junction obstruction and nasolacrimal duct obstruction groups (p = 0.03 and p = 0.01, respectively).

Conclusions: Determination of the accurate position of obstruction using preoperative dacryocystography is recommended for patients with epiphora caused by tear duct obstruction because this predicted the effects of endonasal dacryocystorhinostomy.
- Key Words -

Dacryocystography, Dacryocystorhinostomy, Nasolacrimal obstruction
- 원문 및 링크아웃 정보 -
 
- 등재저널 정보 -
학술진흥재단(KCI) KoreaMed 대한의학회 회원