J Korean Ophthalmol Soc.  2007 Aug;48(8):1017-1022.

Correspondence among the Canaliculus Irrigation Test, Dacryocystography and Jones Test in the Epiphora Patients

• Kim CH
• Lew H
• Yun YS

Abstract

PURPOSE: The correspondence between the canaliculus irrigation test, dacryocystography, and Jones test in patients with epiphora was investigated.
METHODS
The study included 494 eyes of 359 patients who complained of epiphora and underwent both canaliculus irrigation test and dacryocystography from May 2001 to March 2006. Sixty-eight eyes from 34 patients diagnosed with functional lacrimal duct obstruction took Jones tests. Factors such as age, sex, duration of epiphora, and site of obstruction were analyzed in terms of correspondence of the tests.
RESULTS
Between the canaliculus irrigation test and dacryocystography, correspondent rate was 55%. Correspondence had no relation to patient age, sex, duration of epiphora, or site of obstruction. Between Jones test and dacryocystography, the correspondent rate was 47%. Factors affecting the correspondences were not significantly found.
CONCLUSIONS
A canaliculus irrigation test can give useful information with high correspondence rate of dacryocystography in the case of 'not pass' or 'pass without regurgitation'. Therefore dacryocystography should be utilized in "pass with regurgitation" cases by canaliculus irrigation test.

Keyword

Canaliculus irrigation test; Dacryocystography; Epiphora; Jones test

MeSH Terms

Humans
Lacrimal Apparatus Diseases*
Lacrimal Duct Obstruction

Reference

References

1. Jones LT. An anatomical approach to problems of the eyelids and lacrimal apparatus. Arch Ophthalmol. 1961; 66:111–24.

2. Kanski JJ. Disorder of the lacrimal drainage system. Clinical Ophthalmology. 1999; 43–52.

3. Jeffrey JH, Myron Y, Jay SD. The lacrimal drainage system. Ophthalmology. 1999; 7:171–8.

4. Kim JS, Ahn M. Clinical evaluation and classification of nasolacrimal duct obstruction site by dacryocystography. J Korean Ophthalmol Soc. 2005; 46:191–5.

5. Conway ST. Evaluation and management of functional nasolacrimal blockage: results of a survey of the American Society of Ophthalmic Plastic and Reconstructive Surgery. Ophthalmic Plast Reconstr Surg. 1994; 10:185–7.

6. Ewing AE. Roentgen ray demonstration of the lacrimal abscess cavity. Am J Ophthalmol. 1909; 26:1–4.

7. Milder B, Demorest BH. Dacryocystography, 1. the normal apparatus. Arch Ophthalmol. 1954; 51:180–95.

8. Nixon J, Birchall IW, Virjee J. The role of dacryocystography in the management of patient with epiphora. Br J Radiol. 1990; 63:337–9.

9. Lee SY, Kim YD, Kwak SI, et al. Ophthalmic plastic and reconstructive surgery. Seoul: Naewae haksool;2004. p. 283–93.

10. Seo TH, Jang HS. The Clinical Evaluation of Dacryocystography in Patients with Epiphora. J Korean Ophthalmol Soc. 1995; 36:1842–5.

11. Lee HS, Lew H, Yun YS. Classification of nasolacrimal duct obstruction according to dacryocystographic finding and its clinical significance. J Korean Ophthalmol Soc. 2003; 44:1475–82.

12. Lew H, Lee SY, Kim SJ. The clinical evaluation of the patients complaining of epiphora. J Korean Ophthalmol Soc. 2000; 41:1112–7.