国际眼科纵览 ›› 2012, Vol. 36 ›› Issue (4): 239-244.doi: 103760/ cma.j.issn.16735803201204005

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泪道塞的临床应用进展

吴志勇 阎曼妮 李霞 朱志忠   

  1. 200437 上海和平眼科医院
  • 收稿日期:2012-03-20 出版日期:2012-08-22 发布日期:2012-09-03
  • 通讯作者: 吴志勇,Email:wuzhiyongsh@126.com E-mail:wuzhiyongsh@126.com
  • 基金资助:

    上海市虹口区卫生局医学科研基金重点项目(1102-17)

Clinical application of lacrimal plug

WU Zhi-yong, YAN Man-ni, LI Xia, ZHU Zhi-zhong   

  1. Shanghai Peace Eye Hospital, Shanghai 200437, China
  • Received:2012-03-20 Online:2012-08-22 Published:2012-09-03
  • Contact: WU Zhiyong, Email:wuzhiyongsh@126.com E-mail:wuzhiyongsh@126.com

摘要: 泪道塞栓塞泪道是目前治疗干眼症的有效方法之一。根据能否降解将泪道塞分为可吸收和不可吸收两大类,对于消除诱因、滴人工泪液等处理不理想的顽固性干眼可施行泪道栓塞疗法。一般先选择可降解泪道塞,如无不适再考虑不可降解泪道塞。除需要严格掌握适应证外,对于各种并发症如泪小管炎、泪溢、泪道塞移位等尤应重视。含有缓释药物的泪道塞可减少眼部用药频次,是具有前景的眼部给药新途径。

Abstract: One of the effective methods for dry eye is to reduce the lost of tear with lacrimal plug.  There are two sorts of lacrimal plugs: absorbable and nonabsorbable. Generally, we may try to find the causes of dry eye, and to relieve the dry eye symptoms with artificial tear. However, these methods would not work well for some severe dry eyes. So lacrimal plug will be chosen. We always select absorbable plug at first, and then nonabsorbable one should be apply while no complications happened. It is important to avoid complications such as canaliculitis, epiphora, displacement of plug, etc.. The lacrimal plug with controlledrelease medicine  has a wonderful  prospect.