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Clinical protocol of bicanalicular intubation for the treatment of lacrimal duct obstruction

Professional Committee of the Lacrimal Disease of Ophthalmology Branch of Chinese Association of Integrated Medicine;Professional Committee of the Lacrimal Disease of Ophthalmologist Branch of Chinese Medical Doctor Association;  
Bicanalicular intubation is an important method for the treatment of lacrimal duct obstruction at present. Evidence showed that bicanalicular intubation could significantly improve the cure rate of pre-lacrimal sac obstruction after canaliculoplasty assisted by transcanalicular endoscopy. Due to the imbalance of regional, economic and medical development, there are many problems in the promotion and popularization of bicanalicular intubation, such as inappropriate surgical indications, nonstandard surgical operations, many surgical complications, and great differences in curative effects. It is urgent to form a corresponding expert recommendation scheme and provide standardized training for ophthalmologists. To provide the clinicians with the theoretical basis for the standardized bicanalicular intubation for the treatment of lacrimal duct obstruction, experts of the Professional Committee of the Lacrimal Disease of Ophthalmology Branch of Chinese Association of Integrated Medicine(CAIM), and the Professional Committee of the Lacrimal Disease of Ophthalmologist Branch of Chinese Medical Doctor Association(CMDA)organized relevant experts to establish this scheme based on clinical practice, including the definition and classification of bicanalicular intubation, the types, advantages and disadvantages of lacrimal stent, indications and contraindications of the operation, preoperative preparation,anesthesia and operation methods, postoperative treatment and follow-up, and the matters needing attention.
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