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1994～1996年,对20例老年性干眼患者采用硅栓阻塞泪小管的方法进行治疗,临床观察近期效果满意,现报告如下。 1.一般资料 本组20例35眼,双眼15例,单眼5例,年龄50～60岁。病程最长1年,最短1月。农民12例,教师5例,其他3例。 治疗方法及疗效:对20例患者均采用可吸收植入物(羊肠线)置入下泪小管中,7天后复诊,如症状好转,Schirmer氏试验值在10mm以上则用不吸收植入物(长3mm,一头粗钝的硅栓)置入下泪小管,3～4天后症状复发者则阻塞上、下汨小管。经上述治疗,仅阻塞下泪小管者,本组8例症状全部消失,对症状未全部消失的12例,再给予阻塞上泪小管,其中11例症状全部消失。随访3～12个月无复发,未见并发症发生。
From 1994 to 1996, 20 cases of elderly patients with dry eye silicone plug occlusion of the canalicular approach, the clinical observation of the recent results are satisfactory, are as follows. 1. General Information The group of 20 cases 35 eyes, 15 eyes, monocular in 5 cases, aged 50 to 60 years. The longest duration of 1 year, the shortest in January. 12 farmers, 5 teachers and 3 others. Treatment Methods and Efficacy: All 20 patients were treated with absorbable implants (catgut) into the lacrimal duct. After 7 days of follow-up, if the symptoms improved, Schirmer’s test value was above 10mm, then the non-absorbable implants (Length 3mm, a blunt silicon plug) into the lacrimal duct, 3 to 4 days after the recurrence of symptoms are blocked upper and lower chin duct. After the above treatment, only obstruction of the lacrimal duct, the group of 8 patients disappeared, the symptoms did not disappear in 12 cases, and then given on the obstruction of the lacrimal duct, of which 11 cases of symptoms disappeared. Follow-up 3 to 12 months without recurrence, no complications occurred.