Document Detail

Sixteen-year experience with the Putterman-Gladstone tube for conjunctival dacryocystorhinostomy.
MedLine Citation:
PMID:  23034683     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine whether the Putterman-Gladstone tube is a safe and effective lacrimal bypass tube in conjunctival dacryocystorhinostomy surgery.
METHODS: The authors retrospectively reviewed the charts of patients who underwent conjunctival dacryocystorhinostomy with the Putterman-Gladstone tube between January 1994 and December 2010. Clinical data reviewed included demographics, ocular and surgical history, epiphora symptoms, complications, and repeat surgery information. Success was defined as resolution of epiphora or greatly improved symptoms of epiphora at last follow up.
RESULTS: Twenty-five patients and 29 eyes of patients undergoing conjunctival dacryocystorhinostomy surgery with Putterman-Gladstone were identified. Mean follow up was 35.61 months. Complications of surgery included occlusion in 10.3%, malposition in 17.2%, discomfort in 24.1%, and extrusion in 37.9%. Median time to extrusion was 8 months. Repeat operative intervention was required in 41.4% of patients. Twenty-five of 29 (86.2%) patients had complete resolution of epiphora or only mild residual epiphora at last follow up.
CONCLUSION: This retrospective chart review demonstrates the efficacy and safety of the Putterman-Gladstone tube in conjunctival dacryocystorhinostomy surgery.
Vinay Aakalu; Richard Scott Groat; Allen Putterman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  28     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2012 Nov-Dec
Date Detail:
Created Date:  2012-11-09     Completed Date:  2013-03-08     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  393-5     Citation Subset:  IM    
Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA.
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MeSH Terms
Aged, 80 and over
Conjunctiva / surgery*
Dacryocystorhinostomy / instrumentation*
Follow-Up Studies
Intubation / instrumentation*
Lacrimal Duct Obstruction / therapy*
Middle Aged
Nasolacrimal Duct / surgery*
Retrospective Studies
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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