Abstract：Objective: To investigate the clinical effects of triangular incision of lacrimal canaliculus combined with calculi removal, punctal dilation combined with lacrimal canaliculus extrusion for calculi removal, and incision of lacrimal canaliculus combined with artificial lacrimal canaliculus placement for lacrimal canaliculitis. Methods: This study was retrospective. A total of 31 patients (31 eyes) with canaliculitis who had surgery in the Affiliated Hospital of Chengde Medical University from June 2017 to March 2020 were selected and divided into group A (10 eyes), group B (12 eyes) and group C (9 eyes) according to surgical methods. Group A was treated with triangular incision of lacrimal canalicular wall for canaliculitis; group B was treated with dilation of tear points and massage of lacrimal canaliculi to rule out lacrimal canalicular calculi; group C was treated with lacrimal canaliculitis by lacrimal canaliculotomy combined with placement of artificial lacrimal canaliculi. Conjunctivitis, punctitis, lacrimal canaliculitis and lacrimal canalicular patency and complications at 3 months after operation were compared among the three groups. Results: The effective rate was 80.0% (8/10) in group A, 66.7% (8/12) in group B, and 100.0% (9/9) in group C. There was a significant difference among the three groups (P<0.05). Conclusion: The lacrimal canaliculus incision combined with artificial lacrimal duct placement is an ideal surgical method for the treatment of lacrimal canaliculitis with good curative effect and less complications.
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2021, Vol. 27 
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