Reversal of iatrogenic punctal and canalicular occlusion.
Abstract
[PURPOSE] Significant epiphora occasionally develops after therapeutic punctal occlusion. When this complication occurs from combined scarring of the upper and lower proximal canaliculi, correction usually requires a conjunctivodacryocystorhinostomy.
[METHODS] The authors describe a new microsurgical technique for reversing iatrogenic occlusion of both the upper and lower canaliculi. The relatively straightforward reconstruction uses the remaining canalicular system to create new tear outflow sites.
[RESULTS] This procedure has been used successfully to repair eight of nine consecutive cases of iatrogenic canalicular occlusion, with an average follow-up of 2 years.
[CONCLUSION] Iatrogenic canalicular occlusion can be reversed microsurgically without a conjunctivodacryocystorhinostomy.
[METHODS] The authors describe a new microsurgical technique for reversing iatrogenic occlusion of both the upper and lower canaliculi. The relatively straightforward reconstruction uses the remaining canalicular system to create new tear outflow sites.
[RESULTS] This procedure has been used successfully to repair eight of nine consecutive cases of iatrogenic canalicular occlusion, with an average follow-up of 2 years.
[CONCLUSION] Iatrogenic canalicular occlusion can be reversed microsurgically without a conjunctivodacryocystorhinostomy.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | canalicular
|
scispacy | 1 | ||
| 해부 | canaliculi
|
scispacy | 1 | ||
| 해부 | lower canaliculi
|
scispacy | 1 | ||
| 해부 | outflow
|
scispacy | 1 | ||
| 합병증 | upper
|
scispacy | 1 | ||
| 질환 | canalicular occlusion
|
scispacy | 1 | ||
| 질환 | punctal occlusion
|
C0395275
Occlusion of lacrimal punctum
|
scispacy | 1 |
MeSH Terms
Adult; Dacryocystorhinostomy; Female; Humans; Iatrogenic Disease; Lacrimal Apparatus; Lacrimal Duct Obstruction; Microsurgery; Prostheses and Implants; Surgery, Plastic