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

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