Balloon dacryocystoplasty study in the management of adult epiphora.
dc.contributor.author | Fenton, S | |
dc.contributor.author | Cleary, P E | |
dc.contributor.author | Horan, E | |
dc.contributor.author | Murray, A | |
dc.contributor.author | Ho, S L | |
dc.contributor.author | Ryder, D | |
dc.contributor.author | O'Connor, G | |
dc.date.accessioned | 2012-02-03T15:11:49Z | |
dc.date.available | 2012-02-03T15:11:49Z | |
dc.date.issued | 2012-02-03T15:11:49Z | |
dc.identifier.citation | Eye (Lond). 2001 Feb;15(Pt 1):67-9. | en_GB |
dc.identifier.issn | 0950-222X (Print) | en_GB |
dc.identifier.issn | 0950-222X (Linking) | en_GB |
dc.identifier.pmid | 11318299 | en_GB |
dc.identifier.doi | 10.1038/eye.2001.16 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10147/209083 | |
dc.description.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. | |
dc.language.iso | eng | en_GB |
dc.subject.mesh | Adolescent | en_GB |
dc.subject.mesh | Adult | en_GB |
dc.subject.mesh | Aged | en_GB |
dc.subject.mesh | Aged, 80 and over | en_GB |
dc.subject.mesh | Balloon Dilation/*methods | en_GB |
dc.subject.mesh | Female | en_GB |
dc.subject.mesh | Follow-Up Studies | en_GB |
dc.subject.mesh | Humans | en_GB |
dc.subject.mesh | Lacrimal Duct Obstruction/pathology/*therapy | en_GB |
dc.subject.mesh | Male | en_GB |
dc.subject.mesh | Middle Aged | en_GB |
dc.subject.mesh | Patient Satisfaction | en_GB |
dc.subject.mesh | Recurrence | en_GB |
dc.subject.mesh | Retrospective Studies | en_GB |
dc.subject.mesh | Treatment Outcome | en_GB |
dc.title | Balloon dacryocystoplasty study in the management of adult epiphora. | en_GB |
dc.contributor.department | Department of Ophthalmology, Cork University Hospital, Ireland. | en_GB |
dc.identifier.journal | Eye (London, England) | en_GB |
dc.description.province | Munster | |
html.description.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. |