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dc.contributor.authorFenton, S
dc.contributor.authorCleary, P E
dc.contributor.authorHoran, E
dc.contributor.authorMurray, A
dc.contributor.authorHo, S L
dc.contributor.authorRyder, D
dc.contributor.authorO'Connor, G
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.
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
html.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.


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