半月皱襞松驰致泪溢手术疗效观察

Observation of the operation of epiphora caused by plica semilunaris laxation

目的:观察半月皱襞松弛性泪溢的手术疗效。方法:2007-06/2009-06对13例18眼半月皱襞松弛手术切除,手术后观察:症状评估,裂隙灯结膜观察,氯霉素眼液尝味试验。结果:手术后4wk18眼中症状消失和改善者15眼(83%);术后12wk随访到9例13眼中症状消失和改善11眼(85%)。手术后4wk18眼中裂隙灯检查半月皱襞松弛完全消除、下泪小点堵塞解除者16眼(89%);术后12wk随访到9例13眼中12眼半月皱襞松弛完全消除、下泪小点堵塞完全解除(92%)。术后4wk18眼中氯霉素眼液尝味试验恢复正常者14眼(78%);术后12wk随访到9例13眼氯霉素眼液尝味试验正常10眼(77%)。结论:半月皱襞松弛切除术简单、安全、有效。

AIM： To investigate the operative effect of epiphora caused by plica semilunaris laxation. METHODS： Thirteen cases （18 eyes） underwent the chalasia plica semilunaris resection from June of 2007 to June of 2009. Postoperative symptoms were evaluated; the conjunctiva was observated by slit-lamp, so was tasting of chloramphenicol test. RESULTS： Symptoms disappeared or were improved in 15 eyes （83%） among 18 eyes 4 weeks after operation, and disappeared or were improved in 11 eyes among 13 eyes 12 weeks after operation, During the post-operative slitl-amp examination 4 weeks after operation, plica semil-unaris laxation was completely eliminated in 16 eyes （89%） with blockage of puncta relieved among 18 eyes, and 12 weeks after operation, plica semilunaris laxation was completely eliminated and the blockage of puncta were relieved in 12 eyes among 13 eyes （92%）; chloramphenicol tasting tests returned to normal in 14 eyes （78%） of 18 eyes 4 weeks after operation, and 10 eyes （77%） of 13 eyes returned to normal 12 weeks after operation. CONCLUSION： The operation of plica semilunaris laxation resection is easy, safe and effective.