Balloon dacryocystoplasty study in the management of adult epiphora.

Hdl Handle:
http://hdl.handle.net/10147/209083
Title:
Balloon dacryocystoplasty study in the management of adult epiphora.
Authors:
Fenton, S; Cleary, P E; Horan, E; Murray, A; Ho, S L; Ryder, D; O'Connor, G
Affiliation:
Department of Ophthalmology, Cork University Hospital, Ireland.
Citation:
Eye (Lond). 2001 Feb;15(Pt 1):67-9.
Journal:
Eye (London, England)
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209083
DOI:
10.1038/eye.2001.16
PubMed ID:
11318299
Abstract:
PURPOSE: To determine the efficacy of dacryocystoplasty with balloon dilation in the treatment of acquired obstruction of the nasolacrimal system in adults. METHODS: Balloon dacryocystoplasty was performed in 52 eyes of 42 patients under general anaesthetic. A Teflon-coated guidewire was introduced through the canaliculus and manipulated through the nasolacrimal system and out of the nasal aperture. A 4 mm wide 3 cm coronary angioplasty balloon catheter was threaded over the guidewire in a retrograde fashion and dilated at the site of obstruction. RESULTS: There was complete obstruction in 30% of cases and partial obstruction in 70%. The most common site of obstruction was the nasolacrimal duct. The procedure was technically successful in 94% of cases. The overall re-obstruction rate was 29% within 1 year of the procedure. There was an anatomical failure rate of 17% for partial obstruction and 69% for complete obstruction within 1 year. CONCLUSIONS: Balloon dacryocystoplasty has a high recurrence rate. There may be a limited role for this procedure in partial obstructions. Further refinements of the procedure are necessary before it can be offered as a comparable alternative to a standard surgical dacryocystorhinostomy.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Balloon Dilation/*methods; Female; Follow-Up Studies; Humans; Lacrimal Duct Obstruction/pathology/*therapy; Male; Middle Aged; Patient Satisfaction; Recurrence; Retrospective Studies; Treatment Outcome
ISSN:
0950-222X (Print); 0950-222X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorFenton, Sen_GB
dc.contributor.authorCleary, P Een_GB
dc.contributor.authorHoran, Een_GB
dc.contributor.authorMurray, Aen_GB
dc.contributor.authorHo, S Len_GB
dc.contributor.authorRyder, Den_GB
dc.contributor.authorO'Connor, Gen_GB
dc.date.accessioned2012-02-03T15:11:49Z-
dc.date.available2012-02-03T15:11:49Z-
dc.date.issued2012-02-03T15:11:49Z-
dc.identifier.citationEye (Lond). 2001 Feb;15(Pt 1):67-9.en_GB
dc.identifier.issn0950-222X (Print)en_GB
dc.identifier.issn0950-222X (Linking)en_GB
dc.identifier.pmid11318299en_GB
dc.identifier.doi10.1038/eye.2001.16en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209083-
dc.description.abstractPURPOSE: To determine the efficacy of dacryocystoplasty with balloon dilation in the treatment of acquired obstruction of the nasolacrimal system in adults. METHODS: Balloon dacryocystoplasty was performed in 52 eyes of 42 patients under general anaesthetic. A Teflon-coated guidewire was introduced through the canaliculus and manipulated through the nasolacrimal system and out of the nasal aperture. A 4 mm wide 3 cm coronary angioplasty balloon catheter was threaded over the guidewire in a retrograde fashion and dilated at the site of obstruction. RESULTS: There was complete obstruction in 30% of cases and partial obstruction in 70%. The most common site of obstruction was the nasolacrimal duct. The procedure was technically successful in 94% of cases. The overall re-obstruction rate was 29% within 1 year of the procedure. There was an anatomical failure rate of 17% for partial obstruction and 69% for complete obstruction within 1 year. CONCLUSIONS: Balloon dacryocystoplasty has a high recurrence rate. There may be a limited role for this procedure in partial obstructions. Further refinements of the procedure are necessary before it can be offered as a comparable alternative to a standard surgical dacryocystorhinostomy.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshBalloon Dilation/*methodsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLacrimal Duct Obstruction/pathology/*therapyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPatient Satisfactionen_GB
dc.subject.meshRecurrenceen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleBalloon dacryocystoplasty study in the management of adult epiphora.en_GB
dc.contributor.departmentDepartment of Ophthalmology, Cork University Hospital, Ireland.en_GB
dc.identifier.journalEye (London, England)en_GB
dc.description.provinceMunster-

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