Treatment Of Occlusive Disease

Occlusive obstruction (lacrimal occlusion) is a group of conditions in which the normal circulation of tears (starting from the tear through the lacrimal sac, lacrimal sac, nasal tear) is narrowed, sometimes completely blocked.
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Religious rules can be encountered at any age, nursing infants (infants) and the elderly are the most susceptible subjects. They have anatomical disadvantages that make them more likely to develop. It is a condition in which tears in the tear duct, tear duct are not hollow after birth, tears and valves on the lacrimal line are deformed, the nose is inflamed or deformed.
The disease is also seen in the elderly, but with this subject, the main reason is due to atrophy of the duct of the lacrimal duct, causing fibrosis and narrowing of the tear duct gradually

. In addition, trachoma and lacunae stones are also common causes. Systemic diseases such as sarcoidose, lupus . .



also cause the rule but rare. Injury, complications of radiation therapy or some maxillofacial surgery also contribute to the cause of lacrimal occlusion.
Manifestations of occlusive disease
Expressions of occlusion in infants and adults are different. Causes of lacrimal occlusion: infections, tumors, lacrimal stones, systemic diseases, etc. also cause significant symptomatic differences. However, the religious rules have the following general expressions:
Bleeding, tearful, frequent, constant, not commensurate with irritation. Older patients often have to clean regularly to cause blepharitis and eyelid flipping
Exudate: tears are not clear as usual but often opaque, sometimes purulent discharge.




Conjunctivitis: inflammation of the esophagus, macula: are common manifestations due to stagnation of the lacrimal pathway or accompanied by bacterial infection, sometimes fungal infection in the lacrimal system, which then spreads to adjacent organizations such as conjunctiva, tears, local rules ...
The treatment of occlusive occlusion
For congenital morbidity in young children (less than 6 months of age), the simplest treatment is the day, manipulate the corner of the eye, where there is a lacrimal sac, combined with antibiotic eye drops.
For obstructive pulmonary disease in other subjects and for other causes, medical treatment is often unsuccessful. The majority of cases require surgical intervention. The simplest is a catheter routine with anesthesia or anesthesia. More complex is the open-cut nasal sac surgery with a success rate of> 80%.




Most recently, there is a surgical procedure to open a nasal sac with a silicone tube. Surgery for success rates> 90%, performed in ophthalmic environments or in combination with rhinoscopic surgery The silicone tube will be withdrawn through the nose after 2-4 months.
With surgical methods, patients are usually required to stay in the hospital for about 3 days and have to re-examine after 7 days. If a silicone tube is placed, the patient will be scheduled for withdrawal after 2 to 4 months. The surgery cost about 3 million VND for one eye.
A few things to note
- For young children, when they detect a child suffering from watery eyes, it is necessary to seek medical attention immediately at ophthalmological facilities to accurately identify the cause of the tear, eliminate other dangerous eye diseases such as glaucoma. birth, inflammation in the eyes.
- For adults, when wiping away tears, use a clean towel to avoid complications such as blepharitis or eyelid flipping.




It is best to see early eye specialist facilities when there are signs of continuous and frequent tearing to avoid complications such as diverticulitis, chronic conjunctivitis ... If you experience minor irritation Like light, wind, dust ... Tears are also flowing, which could be a sign of religious rules.
- For morbidity, surgical interventions cause any complications?
Complications of surgery in addition to the common complications of general anesthesia are: surgical site bleeding or bleeding down the nose, falling or losing a silicone tube.



The failure of surgery is only a few percent but it is still possible. In the event of a failed surgery, the tears are still flowing and when the only way is the last one is to place a rigid tube through the tear duct down the nose (John tube).
Religious rules without complications without accompanying the whole body will not have a great effect on health. Complications of the disease, if any, will not cause vision loss or blindness or affect life. Is it possible that young parents will worry..

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