Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

Abstract

As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canaliculitis in a long-term follow-up setting. A total of 25 eyes of 25 patients with canaliculitis treated with canaliculotomy and STI at the University of Muenster Medical Center, Germany, from 2015 to 2021 were included in this study. Data analysis involved clinical symptoms, complications, duration of STI and rate of recurrence. Mean patient age was 63.7 ± 17.2 years. After a follow-up time of 3.7 ± 1.5 years, 88% of cases showed no recurrence of inflammation. The mean duration of STI was 5.8 ± 3.4 months. Complications such as post-operative hemorrhage, spread of infection, obstruction of the canaliculus or migration of the STI were not observed in any of the patients. However, tube dislocation occurred in four cases, a pyogenic granuloma in two cases and a fistula formation in one case. The management of canaliculitis by canaliculotomy with STI showed very good postoperative outcomes and low complication rates in the long-term and can therefore be considered a safe and successful surgical approach.

Effects of Analgesics and Sedatives before Silicone-tube Intubation on Patients’ Pain with Nasolacrimal Duct Stenosis

“…-대한안과학회지 2023년 제 64 권 제 10 호 -수술 중 협조가 잘 되지 않을 시 수술 부위의 손상으로 인 한 출혈, 혈종, false pathway가 발생하는 등의 합병증 위험 이 증가한다. [15][16][17][18] Acetaminophen은 COX inhibitor로 N-methyl-D-aspartate (NMDA)나 substance P매개 질산 합성(NMDAor substance P-mediated nitric oxide synthesis)을 방해하거나 중추신경 계에서 prostaglandin E2 유리를 방해하여 비스테로이드소 염제(non-steroidal anti-inflammatory drugs, NSAIDs)와 비슷 한 진통, 소염 효과가 있으면서 신기능 저하 없이 약물 자 체의 합병증이 적어 수술 중 및 수술 후 통증 조절을 위해 흔히 사용된다. 19 또한 NSAIDs를 사용 할 수 없는 위궤양 (peptic and gastric ulcer) 같은 상황에서까지 유용하게 사용 할 수 있다.…”