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Journals / BEYOGLU EYE JOURNAL / 2018 / Cilt: 3 - Sayı: 3

Conjunctivodacryocystorhinostomy using Métaireau Tube with Endoscopy Assistance

Gamze OZTURK KARABULUT
Pages
142–145
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: CDCR with permanent silicone tube insertion and adjustment of the length of the tube with assistance of endoscopy provides easier and efficient approach in patients with proximal lacrimal system obstruction.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The purpose of this study was to analyze the surgical outcome of conjunctivodacryocystorhinostomy (CDCR) operations with permanent silicone tube implantation (Métaireau tube) with the aid of nasal endoscopy and to obtain subjective measure of patient satisfaction.
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Key Findings & Data:Methods: Charts of 13 eyes of 13 patients (five males and eight females) with proximal canalicular obstruction who had undergone CDCR with permanent silicone tube insertion were reviewed retrospectively.
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Conclusion & Impact:Conclusion: CDCR with permanent silicone tube insertion and adjustment of the length of the tube with assistance of endoscopy provides easier and efficient approach in patients with proximal lacrimal system obstruction.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: The purpose of this study was to analyze the surgical outcome of conjunctivodacryocystorhinostomy (CDCR) operations with permanent silicone tube implantation (Métaireau tube) with the aid of nasal endoscopy and to obtain subjective measure of patient satisfaction. Methods: Charts of 13 eyes of 13 patients (five males and eight females) with proximal canalicular obstruction who had undergone CDCR with permanent silicone tube insertion were reviewed retrospectively. Diagnosis of the upper lacrimal system obstruction was confirmed by lacrimal system irrigation. During operation, the length of the tube was adjusted with the aid of nasal endoscopy using the endoscopic scissors to prevent contact of the distal end of the tube to the nasal septum in the nasal cavity. The patients were asked to subjectively rate their epiphora according to Munk Epiphora Grading System before surgery and at 1st, 3rd, and 6th months, and 1 year following surgery. Results: Improvement of epiphora was statistically significant at all visits when compared with values before injection (p<0.001). Tube dislocation was seen in 4 patients (30.7%), proximal obstruction due to conjunctival granuloma formation was seen in 3 patients (23%). Two patients who had tube dislocation intranasally were revised for 2 times with endoscopy and proximal ends of tubes were resutured. Repositioning of the tube by pulling out from caruncle area with fine forceps was performed only once in two patients. Conclusion: CDCR with permanent silicone tube insertion and adjustment of the length of the tube with assistance of endoscopy provides easier and efficient approach in patients with proximal lacrimal system obstruction.

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Cite This Article

KARABULUT, G. O. (2018). Conjunctivodacryocystorhinostomy using Métaireau Tube with Endoscopy Assistance. BEYOGLU EYE JOURNAL, Cilt: 3 - Sayı: 3, 142–145. https://ajindex.com/articles/146244

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References (12)

  1. Goar EL. Congenital absence of the Lacrimal puncta and cana-liculi. Trans Am Ophthalmol Soc 1931;29:91–9.
  2. Athanasiov PA, Madge S, Kakizaki H, Selva D. A review of bypass tubes for proximal lacrimal drainage obstruction. Surv Ophthalmol 2011;56:252–66. Stallard HB. An operation for epiphora. Lancet 1940;2:743–4.
  3. Mahmood S, Sadiq A. A short history of lacrimal surgery. J Ophthalmol 2001;5:76–8.
  4. Paufique L, Durand L. Surgical treatment of eye watering: Re-pair of the canaliculus with a venous graft (technic). Ann Ocul (Paris) 1969;202:337–44. Jones LT. Conjunctivodacryocystorhinostomy. Am J Ophthal-mol 1965;59:773–83.
  5. Steele EA, Dailey RA. Conjunctivodacryocystorhinostomy with the frosted jones pyrex tube. Ophthalmic Plast Reconstr Surg 2009;25:42–3.
  6. Lim C, Martin P, Benger R, Kourt G, Ghabrial R. Lacrimal can-alicular bypass surgery with the Lester Jones tube. Am J Oph-thalmol 2004;137:101–8.
  7. Munk PL, Lin DT, Morris DC. Epiphora: Treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus. Radiology 1990;177:687–90.
  8. Rose GE, Welham RA. Jones' lacrimal canalicular bypass tubes: Twenty-five years’ experience. Eye (Lond) 1991;5:13-9.
  9. Sekhar GC, Dortzbach RK, Gonnering RS, Lemke BN. Prob-lems associated with conjunctivodacryocystorhinostomy. Am J Ophthalmol 1991;112:502–6.
  10. Zilelioğlu G, Gündüz K. Conjunctivodacryocystorhinostomy with jones tube. A 10-year study. Doc Ophthalmol 1996;92:97– 105. Rosen N, Ashkenazi I, Rosner M. Patient dissatisfaction after functionally successful conjunctivodacryocystorhinostomy with jones tube. Am J Ophthalmol 1994;117:636–42. Metaireau JP. Treatment of canalicular block. Eye (Lond) 1988;2:220–2.
  11. Chang CH, Chen YC, Lee CL, Chu SW. Application of the me-taireau tube (M-tube) in conjunctivodacryocystorhinostomy (CDCR). Taiwan J Ophthalmol 2013;3:71–4.
  12. Gladstone GJ, Putterman AM. A modified glass tube for conjunc-tivodacryocystorhinostomy. Arch Ophthalmol 1985;103:1229– 30. Dailey RA, Tower RN. Frosted jones pyrex tubes. Ophthalmic Plast Reconstr Surg 2005;21:185–7. Wojno T. Experience with a medpor-coated tear drain. Oph-thalmic Plast Reconstr Surg 2010;26:327–9.