关键词: adults canalicular wall dehiscence epiphora thinning

来  源:   DOI:10.7759/cureus.58726   PDF(Pubmed)

Abstract:
We retrospectively reviewed the medical records of all patients diagnosed with lacrimal canalicular wall dehiscence/thinning from January 2020 to January 2024 and found three patients. Two patients were male, and the other patient was female. Patient ages ranged from 53 to 82 years. None of the patients had a history of ocular trauma, congenital anomaly, or other ocular diseases except for cataract. All patients complained of epiphora, and the duration of symptom ranged from 15 months to 10 years. Unilateral involvement of the lower canaliculus and isolated single wall involvement affecting only the canalicular roof were observed in all patients. The roof was dehiscent in one case and thinned out in the other two cases. The dehiscent canaliculus was closed by sutures, and the thinned-out canalicular wall of one patient was covered using a conjunctival flap. However, recurrences were noted at two and five months after surgery.
摘要:
我们回顾性回顾了2020年1月至2024年1月诊断为泪小管壁开裂/变薄的所有患者的病历,发现了三名患者。两名患者为男性,另一个病人是女性.患者年龄为53至82岁。没有一个病人有眼外伤史,先天性异常,或除白内障外的其他眼部疾病。所有的病人都主诉是溢唇,症状持续时间为15个月至10年。在所有患者中,观察到下小管的单侧受累和孤立的单壁受累仅影响小管顶部。屋顶在一种情况下是开裂的,在另外两种情况下是变薄的。用缝线将开裂的泪小管封闭,使用结膜瓣覆盖了一名患者变薄的泪小管壁。然而,术后2个月和5个月出现复发.
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