Long-Term Results of Closed Nasolacrimal Intubation in Adults

2007 ◽  
Vol 17 (4) ◽  
pp. 490-493 ◽  
Author(s):  
A. Shah ◽  
A.K. Tekriwal ◽  
P.M. Drummond ◽  
G. Woodruff
Keyword(s):  
Surgical Treatment ◽  
Invasive Procedure ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Long Term Results ◽  
Minimally Invasive Procedure ◽  
Duct Obstruction ◽  
Primary Procedure

Purpose Dacryocystorhinostomy (DCR) is the standard surgical treatment for adult nasolacrimal duct obstruction. There have been relatively few studies of closed nasolacrimal duct intubation in adults. The aim of this study was to determine rates of anatomic patency following this procedure. Methods The authors carried out a survey of all patients undergoing closed nasolacrimal duct intubation as a primary procedure over a period of 3 years and 4 months. There were 32 eligible patients of whom 20 attended for review. Results A total of 75% of these cases had patent drainage after follow-up of between 6 months and 3 years. The proportion of patients with persistent patency after intubation was the same regardless of length of follow-up. Conclusions The minimally invasive procedure of lacrimal intubation may have a role in some adults with nasolacrimal duct obstruction.

scholarly journals Treatment of bilateral punctal stenosis and nasolacrimal duct obstruction in an 11-year-old case with dyskeratosis congenita

2020 ◽  
Vol 3 ◽  
pp. 6
Author(s):  
Fatma Corak Eroglu ◽  
Emine Sen ◽  
Suleyman Ellik
Keyword(s):  
Skin Pigmentation ◽  
Dyskeratosis Congenita ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Telomere Maintenance ◽  
Long Term Results ◽  
Duct Obstruction ◽  
Silicone Intubation ◽  
Punctal Stenosis

The purpose of this study was to report the external dacryocystorhinostomy (ext-DCR) using silicone intubation in a child with dyskeratosis congenita (DC) who had presented by bilaterally acquired nasolacrimal duct obstruction (NLDO), punctal stenosis, and mucocutaneous changes. We report the 13-month results of an 11-year-old boy with DC who underwent bilateral ext-DCR with silicone stenting under general anesthesia. Ophthalmic examination revealed bilateral punctal stenosis and NLDO with normal fundus examination. He was referred to pediatrics and was diagnosed as DC, based on classic reticular skin pigmentation, nail dystrophy, and oral leukoplakia, without any other systemic involvement. Treatment consisted of bilateral ext-DCR using silicone stenting by 6 months. Management of surgery and post-operative 13-month follow up results was observed. DC is a rare heterogeneous multisystem disorder of telomere maintenance, which may present with ophthalmologic features. Although the lacrimal system abnormalities have been reported most frequently ocular findings in DC, this is the first case to present the management and long-term results of DCR using silicone intubation. This case aims to raise awareness of the various systemic and ocular manifestations and possible complications of DC and to present long-term results of ext-DC in a patient with DC.

Treatment of Nasolacrimal Duct Obstruction with Polyurethane Stent Placement: Long-Term Results

2002 ◽  
Vol 179 (2) ◽  
pp. 491-494 ◽  
Author(s):  
Zeynep Yazici ◽  
Bülent Yazici ◽  
Müfit Parlak ◽  
Ercan Tuncel ◽  
Haluk Ertürk
Keyword(s):  
Stent Placement ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Long Term Results ◽  
Duct Obstruction

Endoscopic-Powered Dacryocystorhinostomy Without Stenting: Long-term Outcomes of 120 Procedures

2018 ◽  
Vol 32 (4) ◽  
pp. 303-309 ◽  
Author(s):  
Ejder Ciğer ◽  
Mustafa K. Balci ◽  
Seçil Arslanoğlu ◽  
Erdem Eren
Keyword(s):  
Functional Outcomes ◽  
Nasolacrimal Duct ◽  
Long Term Results ◽  
Success Rates ◽  
Long Term Outcomes ◽  
Duct Obstruction ◽  
The Mean ◽  
Anatomical Success

Background The necessity of silicone stenting in endoscopic dacryocystorhinostomy (DCR) procedures is a controversial subject in the literature. Objective The purpose of the present study is to assess the long-term anatomical and functional outcomes of endoscopic-powered DCR (EP-DCR) without stenting or mucosal flaps. Methods One hundred twenty EP-DCR procedures were performed in 107 patients. Anatomical success was defined as a patent ostium on irrigation and functional success as free flow of dye from the ostium and resolution of epiphora. Results The mean follow-up was 46.5 months (range: 24–87). Of the 120 procedures, 13 were bilateral and 94 were unilateral. Anatomical and functional success rates of 92.5% were obtained. Conclusion EP-DCR without stenting is a safe and economic technique that provides satisfactory long-term results and could be considered as the treatment of choice for patients with postsaccal nasolacrimal duct obstruction.

scholarly journals Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction: long-term results in 91 procedures

2014 ◽  
Vol 52 (4) ◽  
pp. 413-418 ◽  
Author(s):  
A. Saratziotis ◽  
E. Emanuelli ◽  
H. Gouveris ◽  
E. Tsironi ◽  
K. Fountas
Keyword(s):  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Long Term Results ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy

Spontaneous resolution rates in congenital nasolacrimal duct obstruction managed with massage or topical antibiotics compared with observation alone

2021 ◽  
pp. bjophthalmol-2021-318853
Author(s):  
Brian G Mohney ◽  
Saraniya Sathiamoorthi ◽  
Ryan D Frank
Keyword(s):  
Medical Records ◽  
Population Based ◽  
Nasolacrimal Duct ◽  
Spontaneous Resolution ◽  
Nasolacrimal Duct Obstruction ◽  
Olmsted County ◽  
Congenital Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Topical Antibiotics

Background/aimsTo determine if nasolacrimal massage or topical antibiotics are associated with higher rates of resolution compared with observation alone in a population-based cohort of infants with congenital nasolacrimal duct obstruction (CNLDO).MethodsThe medical records of all children <5 years diagnosed with CNLDO while residing in Olmsted County, Minnesota from 1 January 1995 through 31 December 2004 were retrospectively reviewed for type of management and non-surgical resolution of tearing.ResultsAmong 1958 infants diagnosed and followed for CNLDO, 516 (26.4%) were merely observed, 506 (25.8%) were prescribed massage alone, 485 (24.8%) were prescribed at least one course of topical antibiotics, 397 (20.3%) were prescribed both topical antibiotics and massage, and 54 (2.8%) had no documented therapy. Non-surgical resolution, occurring in 1669 (85.2%) during a median follow-up of 3.1 months (range: 1 week–248 months), was 74.6% for the merely observed, 89.7% for those prescribed digital massage, 87.0% for those prescribed antibiotics and 90.7% for those treated with both. This comparison was significant in unadjusted (p<0.001) and multivariable comparisons (p<0.001).ConclusionPrescribing topical antibiotics or digital massage for infants with CNLDO in this cohort, individually or in combination, was associated with a higher rate of spontaneous resolution than observation alone.

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