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January 1995

Conjunctivodacryocystorhinostomy With Buccal Mucosal Graft

Author Affiliations

From the Department of Ophthalmology, the University of Texas Health Science Center, San Antonio.

Arch Ophthalmol. 1995;113(1):113-115. doi:10.1001/archopht.1995.01100010115031

Conjunctivodacryocystorhinostomy with a borosilicate glass tube (Pyrex tube, Gun-ther Weiss, Scientific Glass Blowing Co, Beaverton, Ore) is the usual procedure for a total canalicular block; however, in patients in whom the tube comes out, there is a high incidence of closure of the tract. Full-thickness buccal mucosa was used to line the conjunctivodacryocystorhinostomy tract in 17 patients to determine whether the conduit would function adequately without a tube. Four patients elected to go without tubes and have remained improved with positive results of primary dye tests. The remaining 13 chose to retain their tubes.