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KMID : 0360219760170010071
Journal of the Korean Ophthalmological Society
1976 Volume.17 No. 1 p.71 ~ p.76
Reconstruction of the Lacrimal Canaliculus


Abstract
From September 1973 to October 1975, author had experienced two cases of congenital canaliculus atresia and eight of traumatic canalicus lacerations, and repaired them by means of the Pigtail probe of Worst inserted through a polyethylene tube (size of which being 45, h D. 016 O.D. .031").
The length of time to leave the polyethylene tube in place had been six to eight weeks.
Z plasty was performed to prevent cicatrical contraction of the lower lid. Two cases of con
genital canaliculus atresia became reobstructed two weeks after removal of the tube which were
accidentally slipped out.
In a single case in which Z plasty was not performed, the patient continued to complain of lacrimation due to cicatrical contraction in the lower lid margin medial to the punctum. The canaliculus, however, demonstrated the patency as evidenced by nasal drainage of fluid syringed into the punctum.
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