Balloon dacryocystoplasty study in the management of adult epiphora
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 th...
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| Veröffentlicht in: | Eye (London) 2001-01, Vol.15 (1), p.67-69 |
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| creator | Fenton, S Cleary, P E Horan, E Murray, A Ho, S L Ryder, D O'Connor, G |
| description | 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. |
| doi_str_mv | 10.1038/eye.2001.16 |
| format | Article |
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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.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2001.16</identifier><identifier>PMID: 11318299</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Catheterization - methods ; clinical-study ; Diseases of eyelid, conjunctiva and lacrimal tracts ; Female ; Follow-Up Studies ; Humans ; Laboratory Medicine ; Lacrimal Duct Obstruction - pathology ; Lacrimal Duct Obstruction - therapy ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Patient Satisfaction ; Pharmaceutical Sciences/Technology ; Recurrence ; Retrospective Studies ; Surgery ; Surgical Oncology ; Treatment Outcome</subject><ispartof>Eye (London), 2001-01, Vol.15 (1), p.67-69</ispartof><rights>Royal College of Ophthalmologists 2001</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-d5666f4d8c31ea20f91b35b2a647185e0634b2c64dc5a9c29b6758a52a422af33</citedby><cites>FETCH-LOGICAL-c411t-d5666f4d8c31ea20f91b35b2a647185e0634b2c64dc5a9c29b6758a52a422af33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.2001.16$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.2001.16$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=911863$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11318299$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fenton, S</creatorcontrib><creatorcontrib>Cleary, P E</creatorcontrib><creatorcontrib>Horan, E</creatorcontrib><creatorcontrib>Murray, A</creatorcontrib><creatorcontrib>Ho, S L</creatorcontrib><creatorcontrib>Ryder, D</creatorcontrib><creatorcontrib>O'Connor, G</creatorcontrib><title>Balloon dacryocystoplasty study in the management of adult epiphora</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Catheterization - methods</subject><subject>clinical-study</subject><subject>Diseases of eyelid, conjunctiva and lacrimal tracts</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Lacrimal Duct Obstruction - pathology</subject><subject>Lacrimal Duct Obstruction - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Patient Satisfaction</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10L9r3DAYxnERWpJrmil7ayhkaX3Vq1-2x-Zok0KgSwrdxGtZThxsyZHkwf99dNyRTJ006MMj8SXkEugWKK-_29VuGaWwBXVCNiAqVUohxTuyoY2kJWPs3xn5EONTNqKq6Ck5A-BQs6bZkN01jqP3rujQhNWbNSY_jxjTWsS0dGsxuCI92mJChw92si4Vvi-wW8ZU2HmYH33Aj-R9j2O0F8fznPz99fN-d1ve_bn5vftxVxoBkMpOKqV60dWGg0VG-wZaLluGSlRQS0sVFy0zSnRGYmNY06pK1igZCsaw5_ycXB125-CfFxuTnoZo7Diis36JuqI1FZxDhl8P0AQfY7C9nsMwYVg1UL1vpnMzvW-mQWX96Ti7tJPt3uwxUgZfjgCjwbEP6MwQX10DUKv9774dVMwX7sEG_eSX4HKQ_7z6-cAdpiXY17Vs9iSLF-fFjRU</recordid><startdate>20010101</startdate><enddate>20010101</enddate><creator>Fenton, S</creator><creator>Cleary, P E</creator><creator>Horan, E</creator><creator>Murray, A</creator><creator>Ho, S L</creator><creator>Ryder, D</creator><creator>O'Connor, G</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010101</creationdate><title>Balloon dacryocystoplasty study in the management of adult epiphora</title><author>Fenton, S ; Cleary, P E ; Horan, E ; Murray, A ; Ho, S L ; Ryder, D ; O'Connor, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-d5666f4d8c31ea20f91b35b2a647185e0634b2c64dc5a9c29b6758a52a422af33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Catheterization - methods</topic><topic>clinical-study</topic><topic>Diseases of eyelid, conjunctiva and lacrimal tracts</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Lacrimal Duct Obstruction - pathology</topic><topic>Lacrimal Duct Obstruction - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Patient Satisfaction</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fenton, S</creatorcontrib><creatorcontrib>Cleary, P E</creatorcontrib><creatorcontrib>Horan, E</creatorcontrib><creatorcontrib>Murray, A</creatorcontrib><creatorcontrib>Ho, S L</creatorcontrib><creatorcontrib>Ryder, D</creatorcontrib><creatorcontrib>O'Connor, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fenton, S</au><au>Cleary, P E</au><au>Horan, E</au><au>Murray, A</au><au>Ho, S L</au><au>Ryder, D</au><au>O'Connor, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Balloon dacryocystoplasty study in the management of adult epiphora</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2001-01-01</date><risdate>2001</risdate><volume>15</volume><issue>1</issue><spage>67</spage><epage>69</epage><pages>67-69</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>11318299</pmid><doi>10.1038/eye.2001.16</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Catheterization - methods clinical-study Diseases of eyelid, conjunctiva and lacrimal tracts Female Follow-Up Studies Humans Laboratory Medicine Lacrimal Duct Obstruction - pathology Lacrimal Duct Obstruction - therapy Male Medical sciences Medicine Medicine & Public Health Middle Aged Ophthalmology Patient Satisfaction Pharmaceutical Sciences/Technology Recurrence Retrospective Studies Surgery Surgical Oncology Treatment Outcome |
| title | Balloon dacryocystoplasty study in the management of adult epiphora |
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