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徐某,男,59岁.右眼流泪多年,曾滴过消炎眼药水并做过泪道冲洗无明显效果.眼部检查:视力右0.7,左0.8.右结膜轻度充血,泪湖积泪,下泪点狭窄,泪囊部无红肿,压迫泪囊无脓性分泌物溢出。扩张泪点后做泪道冲洗冲洗针头不能达骨壁,冲洗液大部分从上泪点返流出来,有一小部分可达鼻泪管.诊断:右下泪点及泪小管狭窄.因泪道探针进入泪小管困难无法进行泪道探通,按常规应手术治疗。但患者因年龄大不愿接受手术。鉴于患者无眼外伤史,分析泪点及泪小管狭窄的原因系泪小管炎症。笔
Xu, male, aged 59. The right eye tears for many years, had dripped anti-inflammatory eye drops and lacrimal duct irrigation did not have a significant effect.Ophthalmoscopy: visual acuity of 0.7, left 0.8 right conjunctival mild hyperemia, tear lake tear , The next point of tears, no swelling of the dacryocyst, oppression of the lacrimal sac overflow of secretions. Dilatation of punctuation to do after lacrimal duct flushing needle can not reach the bone wall, most of the flushing fluid from the back point on the tear back, there is a small part of up to the nasolacrimal duct. Diagnosis: lower right punctum and lacrimal canalicular stenosis. Probe into the canaliculi difficult to explore the lacrimal duct, according to the conventional surgical treatment. However, patients are reluctant to accept surgery because of their age. In view of the history of patients without eye trauma, the analysis of tears and canalicular stenosis of the Department of lacrimal duct inflammation. pen