J Korean Ophthalmol Soc.  2005 Jan;46(1):22-27.

Management of Prolapsed Silicone Tube Inserted for Treatment of Nasolacrimal Duct Obstruction

• Park JJ
• Shin DS
• Hong S
• Lee KW

Abstract

PURPOSE
To introduce a new surgical management for the prolapsed silicone tube into the ocular surface which was inserted for treatment of nasolacrimal duct obstruction. METHODS: Five eyes of 179 eyes treated with silicone tube intubation for nasolacrimal duct obstruction from May to December 2003 had a prolapsed silicone tube during the follow-up period. After local anesthesia, a Ritleng probe was inserted into the nasolacrimal duct. A polypropylene thread was passed into the Ritleng probe, and after removal of the probe, the thread was tied to a prolapsed silicone tube near a punctum and was pulled through the nose. The silicone tube was repositioned in the nasolacrimal duct. RESULTS: All the prolapsed silicone tubes were successfully repositioned without any significant complications. CONCLUSIONS: It is difficult to reposition a prolapsed silicone tube after silicone tube intubation for the treatment of nasolacrimal duct obstruction. We introduced an easy and effective method to reposition the prolapsed silicone tube.

Keyword

Nasolacrimal duct obstruction; Prolapsed silicone tube; Ritleng probe

MeSH Terms

Anesthesia, Local
Follow-Up Studies
Intubation
Nasolacrimal Duct*
Nose
Polypropylenes
Silicon*
Silicones*
Polypropylenes
Silicon
Silicones