Successful Reposition of Prolapsed Silicone Tube Using Hole and Lacrimal Probe Method

• Published in: Korean journal of ophthalmology 2021, 35(3), , pp.231-234
• Main Authors: 변지윤, 이보람, 김성철
• Format: Article
• Language: English
• Subjects: 안과학
• ISSN: 1011-8942; 2092-9382
• DOI: 10.3341/kjo.2020.0033

Purpose: Silicone tube intubation is the most common method for treatment of nasolacrimal drainage disorder or repair oflacerated canaliculus. However, some cases are prolapsed earlier than expected, subsequently affecting the success rate ofsilicone tube intubation. The author introduced a successful reposition of the prolapsed silicone tube. Methods: This study is a retrospective case series of 11 patients who were treated with reposition of prolapsed silicone tubeusing hole and lacrimal probe method. In all cases, the tubes were prolapsed within 2 months after the first surgery due tocareless rubbing of the medial canthus by the patient. In all 11 cases, the development of a biofilm on tube was not observedat the time when the tube was prolapsed. All patients underwent immediate reposition of prolapsed tube without local anesthesiain the outpatient operating room on the day they visited. Results: In all 11 cases, the prolapsed silicone tube was repositioned without any complications using this hole and lacrimalprobe method. At 6-month follow-up examination, all patients presented with a well-positioned silicone tube up to the dayof extubation without replacing it with a new silicone tube. Conclusions: This hole and lacrimal probe method is effective for the repositioning of prolapsed silicone tube after bicanalicularintubation of lacrimal system. This procedure includes easy performance in a short time and without local anesthesia inthe outpatient operating room. KCI Citation Count: 0