KOMINEK, Pavel, Stanislav ČERVENKA, Tomáš PNIAK, Karol ZELENIK, Hana TOMASKOVA and Petr MATOUSEK. Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY. NEW YORK: SPRINGER, 2011, vol. 249, No 11, p. 1729-1733. ISSN 0721-832X. Available from: https://dx.doi.org/10.1007/s00417-011-1700-2. |
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@article{1205594, author = {Kominek, Pavel and Červenka, Stanislav and Pniak, Tomáš and Zelenik, Karol and Tomaskova, Hana and Matousek, Petr}, article_location = {NEW YORK}, article_number = {11}, doi = {http://dx.doi.org/10.1007/s00417-011-1700-2}, keywords = {Congenital nasolacrimal duct obstruction; Monocanalicular intubation; Bicanalicular intubation; Complications; Lacrimal}, language = {eng}, issn = {0721-832X}, journal = {GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY}, title = {Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction}, volume = {249}, year = {2011} }
TY - JOUR ID - 1205594 AU - Kominek, Pavel - Červenka, Stanislav - Pniak, Tomáš - Zelenik, Karol - Tomaskova, Hana - Matousek, Petr PY - 2011 TI - Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction JF - GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY VL - 249 IS - 11 SP - 1729-1733 EP - 1729-1733 PB - SPRINGER SN - 0721832X KW - Congenital nasolacrimal duct obstruction KW - Monocanalicular intubation KW - Bicanalicular intubation KW - Complications KW - Lacrimal N2 - To compare the success rate of monocanalicular intubation (MCI) compared with bicanalicular silicone intubation (BCI) in congenital nasolacrimal duct obstruction (CNLDO) in infants and toddlers. In a prospective, nonrandomized, comparative study, MCI (n = 35 eyes) through the inferior canaliculus or BCI (n = 35 eyes) were performed under general anaesthesia in children aged 10 to 36 months with CNLDO. The tubes were removed 3-4 months after tube placement, and the children were followed up for 6 months after the removal of tubes. Therapeutic success was defined as the fluorescein dye disappearance test grade 0-1, corresponding with a complete resolution of previous symptoms. Partial success was defined as improvement with some residual symptoms. Complete and partial improvement was achieved in 31/35 (88.57%) in the BCI group and 34/35 (97.14%) in the MCI group. The difference between the two groups was not significant (p = 0.584). Complications occurred in both groups. Dislodgement of the tube and premature removal was observed in four BCI cases, and loss of the tube was observed twice in the MCI group. Canalicular slitting was observed in five eyes in the BCI group. Granuloma pyogenicum observed in 2 cases with MCI revealed a few weeks after the tube removal. Corneal erosion in the inferior medial quadrant was observed in one MCI eye and revealed in a few days after the local treatment without tube removal. Both MCI and the BCI are effective methods for treating CNLDO. MCI has the advantage of a lower incidence of canalicular slit and easy placement. ER -
KOMINEK, Pavel, Stanislav ČERVENKA, Tomáš PNIAK, Karol ZELENIK, Hana TOMASKOVA and Petr MATOUSEK. Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction. \textit{GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY}. NEW YORK: SPRINGER, 2011, vol.~249, No~11, p.~1729-1733. ISSN~0721-832X. Available from: https://dx.doi.org/10.1007/s00417-011-1700-2.
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