泪道激光成形术联合环形硅胶管植入治疗泪道阻塞疗效观察

The therapeutic effects of Nd:YAG laser combined with annular silicone in tubation for lacrinal duct obstruction

目的探讨KTP-Nd YAG激光泪道成形联合环形硅胶管植入治疗泪道阻塞的效果。方法45例(53只眼)泪道阻塞患者行泪道激光成型术后联合环形硅胶管植入,保留硅胶管3～6个月,术后随访,观察泪道通畅情况。结果拔管后平均随访6.5个月,共治愈44只眼(83.02%),好转5只眼(9.43%)。结论泪道激光成形术联合环形硅胶管植入是治疗泪道阻塞的经济、有效。

Objective To evaluate therapeutic effects of KTP laser combined with annular silicone intubation for lacrinal duet obstruction. Methods 45 patients （53eyes） with obstruction of lacrinal passage were treated with combination of Nd YAG laser and annular silicone tube. The silicone tube was kept in place for 3 ~ 6 months after sugery. The recovery of function of lacrinal duct was evaluated by the end of amean follow-up for 6.5months after extraction of the silicone tube. Results Irrigating test of the lacrinal passage showed 44 out of the 53 troubled eyes （ 83.02% ） got cured 5 out of the troubled eyes turned for better（ 9.43% ）. Conclusion Combination of Nd YAG laser and indwelling annular silicone tube is an useful economical and feasible methed to treat the obstruction of lacrinal passage.