Balloon dacryocystoplasty: results in the treatment of complete and partial obstructions of the nasolacrimal system.

Lee, Jeong Min; Song, Ho Young; Han, Young Min; Chung, Gyung Ho; Sohn, Myung‐Hee; Kim, Chong Soo; Choi, Ki Chul

doi:10.1148/radiology.192.2.8029423

Cited by 87 publications

(40 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8,10,15 In this study, the longterm success rate of BD for junctional obstructions was similar and calculated as 50%. The reason for this low success rate may be the irregular morphology of the lacrimal sac lumen, where the soft-tipped guidewire could not be negotiated through adhesions between lacrimal sac walls.…”

Section: Discussionsupporting

confidence: 61%

“…However, there are less favourable long-term patency rates for the management of idiopathic canalicular and subcanalicular LDS obstructions, reported between 20 and 35.5%. 8,10 In our previous study, the overall patency rate of BD was calculated as 66.2% for canalicular and subcanalicular lesions in the mean follow-up period of 13 months. In this study, the overall patency rate was 54.5% after a mean follow-up period of 100 months.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] The BD was first described by Becker and Berry, 6 and Munk et al, 7 and its results have been reported since 1990; however, the late results of larger series are given in few studies. [8][9][10][11][12] In 1995, the authors had given the early results of retrograde BD in LDS obstruction. 13 The aim of this study was to give the long-term patency of LDS after BD, and evaluate long-term success rates according to the severity and localization of the obstruction.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term results of balloon dacryocystoplasty: success rates according to the site and severity of the obstruction

Konuk

Ilgıt

Erdinç

et al. 2007

Eye

View full text Add to dashboard Cite

Purpose To evaluate the long-term patency of lacrimal drainage system (LDS) after balloon dacryocystoplasty (BD) and to give the longterm success rates according to the severity and localization of the obstruction. Methods Between May 1993 and December 2003, BD was attempted in 117 eyes of 108 patients with idiopathic-acquired LDS obstruction. Patients with active dacryocystitis, dacryolithiasis, traumatic obstruction or lacrimal mass, obstructions at the superior or inferior canaliculi lateral to the common canaliculus, and follow-up period less than 36 months were excluded from the study.Results The results of BD were evaluated in 99 eyes of 94 cases. The obstruction was seen at the common canaliculus in seven eyes, proximal nasolacrimal duct in 70 eyes, and distal nasolacrimal duct in 22 eyes. The mean follow-up period was 100.0738.4 months (range: 36-142 months). The long-term overall success rate was 40.8% (20/49 eyes) in complete obstruction and 68% (34/50 eyes) in partial obstruction. The clinical success rate was 57.1% in common canalicular (complete: 33.3%, partial: 75%), 50% in proximal nasolacrimal duct (complete: 38.5%, partial: 64.5%), and 68.2% in distal nasolacrimal duct (complete: 57.1%, partial: 73.3%) obstructions. The overall success was 54.5% (54/99 eyes) for the entire series at the last clinical follow-up visit. Conclusion The long-tem success rate of BD for the treatment of epiphora is low and is not comparable to conventional dacryocystorhinostomy. More predictable results can only be achieved in carefully selected patients and this procedure can be recommended in cases demonstrating partial obstruction of the distal nasolacrimal duct.

show abstract

Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term results of balloon dacryocystoplasty: success rates according to the site and severity of the obstruction

Konuk

Ilgıt

Erdinç

et al. 2007

Eye

View full text Add to dashboard Cite

show abstract

“…It may be performed through an antegrade or through a retrograde technique. 6 -9 The reported munk at follow-up success of dacryocystoplasty alone ranges widely, from 25% to 50% 6,8 to 90%. 9,11 When (antegrade) dacryocystoplasty was combined with silicone intubation, two studies showed a six-month success rate of 56% to 60% in patients with incomplete NLD obstruction.…”

Section: Discussionmentioning

confidence: 99%

Silicone Intubation with or without Balloon Dacryocystoplasty in Acquired Partial Nasolacrimal Duct Obstruction

Bleyen¹,

Bosch²,

Bockholts³

et al. 2007

American Journal of Ophthalmology

View full text Add to dashboard Cite

• PURPOSE: To examine if the addition of (antegrade) balloon dacryocystoplasty to bicanalicular silicone intubation affects the success rate in adults with incomplete nasolacrimal duct (NLD) obstruction.• DESIGN: Prospective, randomized trial.• METHODS: Seventy eyes of 70 patients with incomplete NLD obstruction and severe epiphora (Munk score grade 3 or 4) were treated randomly with dacryocystoplasty (Lacricath) and silicone intubation (Ritleng; n ‫؍‬ 35, group 1; mean age, 54.4 years; standard deviation [SD], 11.8 years) or silicone intubation alone (n ‫؍‬ 35, group 2; mean age, 53.5 years; SD, 13.1 years; P > .05). The silicone tubes were removed after, on average, three months. At the visit, we assessed the grade of epiphora using the Munk score. Complete success was defined as Munk score of 0 or 1, partial success was defined as Munk score of 2, and failure was defined as Munk score of 3 or 4. Long-term Munk scores were obtained through a telephone survey nine to 76 months after surgery (mean, 43.4 in group 1 and 34.9 in group 2; P > .05).• RESULTS: Complete success was reported by 18 patients (52%) in group 1 and by 20 patients (57%) in group 2. Partial success was reported by one patient in group 1 and by one patient in group 2. No improvement was reported by 15 patients (44%) in group 1 and by 14 patients (40%) in group 2. Differences between the two groups proved to be not significant (P ‫؍‬ .8, exact Chi-square trend test).• CONCLUSIONS: In our patients with acquired partial NLD obstruction, treatment with a combination of antegrade dacryocystoplasty and silicone intubation was not associated with a higher success rate compared with treatment with silicone intubation alone. (Am J Ophthalmol 2007;144:776 -780.

show abstract

“…3 .4 Reported success rates for balloon DCP are widely variable, ranging from 23% to 90%. 5,6 The aim of this study was to determine the efficacy of DCP with balloon dilation in the treatment of acquired obstruction of the nasolacrimal system in adults in our unit.…”

mentioning

confidence: 99%

Balloon dacryocystoplasty study in the management of adult epiphora

Fenton

Cleary

Horan

et al. 2001

Eye

View full text Add to dashboard Cite

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.

show abstract

Balloon dacryocystoplasty: results in the treatment of complete and partial obstructions of the nasolacrimal system.

Abstract: Balloon DCP is simple and safe but has high failure and recurrence rates.

Cited by 87 publications

References 0 publications

Long-term results of balloon dacryocystoplasty: success rates according to the site and severity of the obstruction

Long-term results of balloon dacryocystoplasty: success rates according to the site and severity of the obstruction

Silicone Intubation with or without Balloon Dacryocystoplasty in Acquired Partial Nasolacrimal Duct Obstruction

Balloon dacryocystoplasty study in the management of adult epiphora

Contact Info

Product

Resources

About