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MANAGEMENT OF STRICTURES OF THE LACRIMAL CANALICULI WITH POLYETHYLENE TUBES

MANAGEMENT OF STRICTURES OF THE LACRIMAL CANALICULI WITH POLYETHYLENE TUBES Abstract EPIPHORA, as the result of an obstruction in the drainage channels for the tears, is a persistent annoyance to many adults. The alleviation of this difficulty has been a problem that has frequently confronted both the ophthalmologist and the physician in general practice. In former years this problem has been managed chiefly through the insertion of metal probes into the channel extending from the lacrimal puncta to the opening of the nasolacrimal duct into the nose. Except in infants the various technics of probing have failed, as a rule, to effect permanent relief of the stricture or obstruction in the drainage channels, and the epiphora has returned after a temporary period of relief. The perfection of the surgical technics of dacryocystorhinostomy has helped tremendously in the solution of the problem of epiphora among adults. Since the majority of obstructions to the normal flow of tears occur in the nasolacrimal duct, References 1. (a) Guenther, T. A.; Grindlay, J. H., and Lundy, J. S.: New Flexible Capillary Tubing for Use in Venoclysis , Proc. Staff Meet., Mayo Clin. 22:206-207 ( (May 14) ) 1947. 2. (b) Brown, M. H.; Grindlay, J. H., and Craig, W. M.: Preliminary Report on Experimental and Clinical Studies with Polythene Film , Proc. Staff Meet., Mayo Clin. 22:453-456 ( (Oct. 1) ) 1947 3. (c) The Use of Polythene Film as a Dural Substitute: An Experimental and Clinical Study , Surg., Gynec. & Obst. 86:663-668 ( (June) ) 1948. 4. (d) Grindlay, J. H.: Method of Making Tubes of Polyethylene Film for Use in Anastomosis of the Common Bile Duct, Trachea, and Pelvic Colon , Surgery 24:22-29 ( (July) ) 1948. 5. (e) Grindlay, J. H., and Mann, F. C.: Surgical Uses of Polythene: An Experimental Study , Arch. Surg. 56:794-812 ( (June) ) 1948. 6. (f) Meyers, L.: Intravenous Catheterization , Am. J. Nursing 45:930-931 ( (Nov.) ) 1945. 7. Manufactured by the Surprenant Manufacturing Company, Boston. 8. Ingraham, F. D.; Alexander, E., Jr., and Matson, D. D.: Synthetic Plastic Materials in Surgery , New England J. Med. 236:402-407 ( (Mar. 13) ) 1947. 9. When this procedure is used, if the polyethylene tube is too flexible to permit easy insertion into the lumen of the lacrimal canaliculus, a silkworm gut style can be threaded into the lumen of the polyethylene tube. This will stiffen the tube so that its passage into the lacrimal sac will be facilitated. The style should be withdrawn before the silkworm gut has an opportunity to imbibe fluid. 10. For use in infants and children, a smaller diameter of tubing (outside diameter 0.6 mm. and inside diameter 0.3 mm.) is available. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

MANAGEMENT OF STRICTURES OF THE LACRIMAL CANALICULI WITH POLYETHYLENE TUBES

Archives of Ophthalmology , Volume 44 (2) – Aug 1, 1950

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1950.00910020203002
Publisher site
See Article on Publisher Site

Abstract

Abstract EPIPHORA, as the result of an obstruction in the drainage channels for the tears, is a persistent annoyance to many adults. The alleviation of this difficulty has been a problem that has frequently confronted both the ophthalmologist and the physician in general practice. In former years this problem has been managed chiefly through the insertion of metal probes into the channel extending from the lacrimal puncta to the opening of the nasolacrimal duct into the nose. Except in infants the various technics of probing have failed, as a rule, to effect permanent relief of the stricture or obstruction in the drainage channels, and the epiphora has returned after a temporary period of relief. The perfection of the surgical technics of dacryocystorhinostomy has helped tremendously in the solution of the problem of epiphora among adults. Since the majority of obstructions to the normal flow of tears occur in the nasolacrimal duct, References 1. (a) Guenther, T. A.; Grindlay, J. H., and Lundy, J. S.: New Flexible Capillary Tubing for Use in Venoclysis , Proc. Staff Meet., Mayo Clin. 22:206-207 ( (May 14) ) 1947. 2. (b) Brown, M. H.; Grindlay, J. H., and Craig, W. M.: Preliminary Report on Experimental and Clinical Studies with Polythene Film , Proc. Staff Meet., Mayo Clin. 22:453-456 ( (Oct. 1) ) 1947 3. (c) The Use of Polythene Film as a Dural Substitute: An Experimental and Clinical Study , Surg., Gynec. & Obst. 86:663-668 ( (June) ) 1948. 4. (d) Grindlay, J. H.: Method of Making Tubes of Polyethylene Film for Use in Anastomosis of the Common Bile Duct, Trachea, and Pelvic Colon , Surgery 24:22-29 ( (July) ) 1948. 5. (e) Grindlay, J. H., and Mann, F. C.: Surgical Uses of Polythene: An Experimental Study , Arch. Surg. 56:794-812 ( (June) ) 1948. 6. (f) Meyers, L.: Intravenous Catheterization , Am. J. Nursing 45:930-931 ( (Nov.) ) 1945. 7. Manufactured by the Surprenant Manufacturing Company, Boston. 8. Ingraham, F. D.; Alexander, E., Jr., and Matson, D. D.: Synthetic Plastic Materials in Surgery , New England J. Med. 236:402-407 ( (Mar. 13) ) 1947. 9. When this procedure is used, if the polyethylene tube is too flexible to permit easy insertion into the lumen of the lacrimal canaliculus, a silkworm gut style can be threaded into the lumen of the polyethylene tube. This will stiffen the tube so that its passage into the lacrimal sac will be facilitated. The style should be withdrawn before the silkworm gut has an opportunity to imbibe fluid. 10. For use in infants and children, a smaller diameter of tubing (outside diameter 0.6 mm. and inside diameter 0.3 mm.) is available.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1950

References