Comparative evaluation of methods of surgical treatment of patients with tear duct ruptures

The aim of the work was a comparative evaluation of various methods of surgical treatment of patients with traumatic ruptures of the lacrimal ducts. Different options for surgical interventions in patients with damage to the lacrimal ducts have been studied. The continuity of the lacrimal ducts was restored with their simultaneous recanalization. The functional result was assessed after surgical interventions using long-term intubation in 2 comparison groups (I – 16 people, age 25–60 years, patency restoration – with a spiral probe; II – 12 people, 20–50 years old, patency restoration – by bicanaliculonasal intubation). The criterion for a «positive» result was the anatomical restoration of the patency of the lacrimal canaliculi and the absence of lacrimation. A differentiated approach to primary surgical treatment of eyelid wounds with ruptures of the lacrimal tubules, depending on the nature and duration of the injury, the possibility of visualizing the medial segment of the tubule in most cases (50–100%) gives a good functional result compared to the traditional use of a spiral probe. A differentiated approach to the treatment of traumatic pathology of the lacrimal ducts is proposed.