泪内窥镜下连接上泪小管的内眦多余点的确认。

IF 1.2 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-12-27 DOI:10.1097/IOP.0000000000002892

Chrisha Faye Habaluyas, Mayari Ito, Yasuhiro Takahashi

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引用次数: 0

摘要

一名55岁的日本女性，以2年的右侧溢泪和黏液分泌物就诊。裂隙灯检查发现内侧眼角有一个额外的点。进行泪镜检查以评估多余泪点的连通性，确认其与上泪小管的直接通信。随后在局部麻醉下行瘘管切除术，并完全切除多余的小针孔。切除标本的组织病理学检查显示瘘内衬层状鳞状上皮，类似于正常的泪小管。在6个月的随访中，症状消失，多余的小点完全闭合。

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Dacryoendoscopic Confirmation of Supernumerary Punctum in the Medial Canthus Connecting to the Upper Lacrimal Canaliculus.

A 55-year-old Japanese woman presented with a 2-year history of right-sided epiphora and mucoid discharge. Slit-lamp examination revealed the presence of an additional punctum in the medial canthus. Dacryoendoscopic examination was performed to assess the connectivity of the supernumerary punctum, confirming its direct communication with the upper lacrimal canaliculus. Fistulectomy was subsequently performed under local anesthesia with complete excision of the supernumerary punctum. Histopathological examination of the excised specimen revealed a fistula lined with stratified squamous epithelium, similar to the normal lacrimal canaliculus. At 6-month follow-up, symptoms resolved, and the supernumerary punctum was completely closed.

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来源期刊

Ophthalmic Plastic and Reconstructive Surgery 医学-外科

CiteScore

2.50

自引率

10.00%

发文量

322

审稿时长

3-8 weeks

期刊介绍： Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.