中国斜视与小儿眼科杂志Issue(3)：13-16,12,5.
Ritleng 泪道插管术治疗结膜炎导致的儿童继发性泪道阻塞疗效观察
Ritleng lacrimal intubation applied in children with acquired nasolacrimal duct obstruction
李程 1张诚玥 1吴倩 1王媛 1樊云葳 1张燕 1曹文红 1于刚1
作者信息
- 1. 100045 首都医科大学附属北京儿童医院眼科 儿科学国家重点学科
- 折叠
摘要
Abstract
Objective This study evaluates the clinical efficacy of silicone intubation using the Ritleng method in children with acquired nasolacrimal duct obstruction (NLDO) after conjunctivitis. Methods In this study, we reviewed 39 cases (42 eyes) of acquired nasolacrimal duct obstruction secondary to conjunctivitis. The Ritleng method was used for lacrimal intubation in all of 42 eyes. The silicone tubes were removed after 3 to 6 months. One month later, children were followed up. we evaluated the effectiveness of the operation by dye disappeamnce test (DDT) and nasolacrimal duct irrigation. Results 42 eyes of 39 patients were placed siliconeduct successfully. 30 eyes (71%) were cured (dacryorrhea disappeared, lacrimal patency, DDT-) ;4 eyes were improved (lacrimal patency with some resistance and sometimes tearing, DDT±) , and 8 eyes were ineffective (lacrimal was not smooth and tearing a-gain, DDT﹢) . 14 eyes in all of 42 eyes were simple obstruction: atresia of puncta were found in 4 eyes, obstruction of canaliculi were found in 6 cases, distal nasolacrimal duct obstruction were found in 4 cases. At last, 12 eyes were suc-cessful, 1 was improved, 1 was ineffective. Another 28 eyes are complicated obstruction: 18 successful, 3 improved and 7 ineffective. Conclusions Silicone intubations with the Ritleng intubation system for acquired nasolacrimal duct ob-struction of children is an easy procedure that yields a efficient rate of success.Negative factors of the delayed operation are reduced.关键词
Ritleng/泪道插管术/继发性泪道阻塞/儿童结膜炎Key words
silicone intubation with the Ritleng method/acquired nasolacrimal/duct obstruction/con-junctivitis of childern引用本文复制引用
李程,张诚玥,吴倩,王媛,樊云葳,张燕,曹文红,于刚..Ritleng 泪道插管术治疗结膜炎导致的儿童继发性泪道阻塞疗效观察[J].中国斜视与小儿眼科杂志,2014,(3):13-16,12,5.
