The efficacy of conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction

中华眼外伤职业眼病杂志 Pub Date : 2020-01-25 DOI:10.3760/CMA.J.ISSN.2095-1477.2020.01.014

Yong Zhang, Yangyang Xie, Lin Chen, Sha Li

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Abstract

Objective To evaluate the clinical efficacy of autologous conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction. Methods A retrospective study. A total of 32 eyes of 31 patients of complex upper lacrimal duct obstruction, who were treated with autologous conjunctival transplantation combined with lacrimal canaliculus incision from Feb. 2017 to Jun. 2018 in Hankou Eye Hospital of Wuhan Aier Eye Hospital were analyzed. The lacrimal passage irrigation were observed. The follow-up time was 1 year after surgery. Results At 1 year after surgery, 21 eyes(65.62%) of lacrimal passage irrigation were successful without symptom of epiphora. Lacrimal passage irrigation with partial reflux, and symptoms of epiphora occasionally occurred outdoors in 7 eyes(21.88%). Lacrimal passage irrigation with more reflux, and symptoms of epiphora improved slightly in 4 eyes(12.50%). Conclusion Autologous conjunctival transplantation combined with lacrimal canaliculus incision is effective for the treatment of complex upper lacrimal duct obstruction. Key words: Transplantation, conjunctiva, autologous; Incision, canaliculus, lacrimal; Obstruction, lacrimal duct, upper

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结膜移植联合泪小管切开治疗复杂上泪管梗阻的疗效观察

目的探讨自体结膜移植联合泪小管切开治疗复杂性上泪管梗阻的临床疗效。方法回顾性研究。对武汉市爱尔眼科医院汉口眼科医院2017年2月至2018年6月行自体结膜移植联合泪小管切口治疗复杂上泪管梗阻的31例32眼患者进行分析。观察泪道冲洗情况。术后随访1年。结果术后1年，21眼(65.62%)泪道冲洗成功，无显泪症状。泪道冲洗伴部分反流，有7眼(21.88%)在室外偶有泪显症状。泪道冲洗返流较多，4眼(12.50%)泪显症状略有改善。结论自体结膜移植联合泪小管切开是治疗复杂上泪管阻塞的有效方法。关键词:移植，结膜，自体;泪道小管切口;阻塞，泪道，上部

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