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Balloon catheter dilation for complex congenital nasolacrimal duct obstruction in older children.
J Pediatr Ophthalmol Strabismus. 2009 Jul-Aug; 46(4):215-7.JP

Abstract

PURPOSE

To evaluate the effectiveness of lacrimal balloon catheter dilation in the treatment of complex congenital nasolacrimal duct obstruction in older children.

METHODS

In a retrospective study, the case records of 65 eyes of 59 children 2 to 6 years (mean: 37 months) who underwent probing for congenital nasolacrimal duct obstruction were evaluated. Complex obstruction was noted in 21 (32.3%) of the 65 children older than 2 years who underwent probing. Secondary balloon dacryoplasty was performed in 8 (38.09%) of these 21 lacrimal systems. Patient age ranged from 3 to 6 years (mean: 47 months). Balloon catheter dilation was performed according to a standard protocol. Clinical patency of the nasolacrimal system was the main outcome measure and was defined as complete resolution of signs and symptoms (crusting, discharge, and watering) on follow-up. The procedures were performed under general anesthesia. All dilations were performed by the same lacrimal surgeon.

RESULTS

Secondary balloon dacryoplasty was successful in seven of the eight lacrimal systems (87.5%). Complex obstruction at the distal end of the nasolacrimal duct was noted in all children. All children were older than 3 years (mean: 37 months), and all underwent secondary procedures because previous probing was unsuccessful.

CONCLUSION

Balloon catheter dilation is an effective procedure for complex nasolacrimal duct obstruction in older children. It can be an alternative to silicone intubation and dacryocystorhinostomy in children after unsuccessful probing.

Authors+Show Affiliations

Orbit Lacrinal & Oculoplasty Services, Shri Ganapati Nerralaya, Jalna, India.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19645399

Citation

Maheshwari, Rajat. "Balloon Catheter Dilation for Complex Congenital Nasolacrimal Duct Obstruction in Older Children." Journal of Pediatric Ophthalmology and Strabismus, vol. 46, no. 4, 2009, pp. 215-7.
Maheshwari R. Balloon catheter dilation for complex congenital nasolacrimal duct obstruction in older children. J Pediatr Ophthalmol Strabismus. 2009;46(4):215-7.
Maheshwari, R. (2009). Balloon catheter dilation for complex congenital nasolacrimal duct obstruction in older children. Journal of Pediatric Ophthalmology and Strabismus, 46(4), 215-7. https://doi.org/10.3928/01913913-20090706-06
Maheshwari R. Balloon Catheter Dilation for Complex Congenital Nasolacrimal Duct Obstruction in Older Children. J Pediatr Ophthalmol Strabismus. 2009 Jul-Aug;46(4):215-7. PubMed PMID: 19645399.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Balloon catheter dilation for complex congenital nasolacrimal duct obstruction in older children. A1 - Maheshwari,Rajat, Y1 - 2009/03/20/ PY - 2007/10/09/received PY - 2008/02/27/accepted PY - 2009/8/4/entrez PY - 2009/8/4/pubmed PY - 2009/11/13/medline SP - 215 EP - 7 JF - Journal of pediatric ophthalmology and strabismus JO - J Pediatr Ophthalmol Strabismus VL - 46 IS - 4 N2 - PURPOSE: To evaluate the effectiveness of lacrimal balloon catheter dilation in the treatment of complex congenital nasolacrimal duct obstruction in older children. METHODS: In a retrospective study, the case records of 65 eyes of 59 children 2 to 6 years (mean: 37 months) who underwent probing for congenital nasolacrimal duct obstruction were evaluated. Complex obstruction was noted in 21 (32.3%) of the 65 children older than 2 years who underwent probing. Secondary balloon dacryoplasty was performed in 8 (38.09%) of these 21 lacrimal systems. Patient age ranged from 3 to 6 years (mean: 47 months). Balloon catheter dilation was performed according to a standard protocol. Clinical patency of the nasolacrimal system was the main outcome measure and was defined as complete resolution of signs and symptoms (crusting, discharge, and watering) on follow-up. The procedures were performed under general anesthesia. All dilations were performed by the same lacrimal surgeon. RESULTS: Secondary balloon dacryoplasty was successful in seven of the eight lacrimal systems (87.5%). Complex obstruction at the distal end of the nasolacrimal duct was noted in all children. All children were older than 3 years (mean: 37 months), and all underwent secondary procedures because previous probing was unsuccessful. CONCLUSION: Balloon catheter dilation is an effective procedure for complex nasolacrimal duct obstruction in older children. It can be an alternative to silicone intubation and dacryocystorhinostomy in children after unsuccessful probing. SN - 0191-3913 UR - https://www.unboundmedicine.com/medline/citation/19645399/Balloon_catheter_dilation_for_complex_congenital_nasolacrimal_duct_obstruction_in_older_children_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=19645399.ui DB - PRIME DP - Unbound Medicine ER -