Nasolacrimal Stents in the Management of Epiphora: Medium-term Results of a Multicenter Prospective Study

Lanciego, Carlos; Miguel, Silvia de; Perea, M.P. Picazo; Cano, Cristóbal; García, Isaac Ruíz; Dávila, Julio C.; Ibarburen, C; Toledano, Nicolas; Rodriguez-Merlo, Rufo; García, L. Carpio

doi:10.1016/s1051-0443(07)61440-7

Cited by 34 publications

(9 citation statements)

References 22 publications

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“…Many authors agree on the attractiveness of a polyurethane stent used as an alternative to conventional dacryocystorhinostomy because it offers an easy, effective, safe, and reversible way to manage lacrimal drainage problems (Kang et al 2002;Lanciego et al 2001;Pinto et al 2001;Schaudig et al 2000;Wilhelm et al 2002); however, this method has not yet gained widespread acceptance among ophthalmologists and interventional radiologists. This is due to the longterm results which to date are less than favorable.…”

Section: Resultsmentioning

confidence: 99%

Atlas of Lacrimal Surgery

Weber¹

2007

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PrefaceTo dry people's eyes -that's one of the great challenges in lacrimal surgery. Different localizations of the stenosis, lesions after tumor surgery or trauma, and epiphora in children or adults are different conditions that need various operative procedures to treat a patient individually and successfully.The close relationship between the eyes and nose demands an interdisciplinary approach to lacrimal surgery. Therefore, ophthalmologists, otorhinolaryngologists as well as plastic surgeons are invited to contribute in solving a patient's problem.This book is intended to serve as a practically oriented reference. In the first part, it contains chapters on pertinent surgical anatomy, physiology and pathophysiology as well as basic clinical and radiological evaluation. In the second part, well-known authorities from all over the world present their experience in all operative procedures currently available to dry patients' eyes. The accompanying DVD contains video clips of different operations highlighting key portions of these procedures.

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Section: Resultsmentioning

confidence: 99%

Atlas of Lacrimal Surgery

Weber¹

2007

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“…Comparing the results of all existing studies the conclusion met in the present study could almost be expected, however failed to be proven so far. The longer the follow-up period (6 months, 1 year, 2 years) [8,9,11,12,13,21,28,29] the lower was the success rate or the rate of patent stents. The early postoperative [2] to early medium-term [3] results of our patients (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…The success rates regarding reduction of epiphora were initially relatively high, but decreased markedly with time. The only multicentre study on polyurethane stent implantation documented a success rate (stent patency) of 85.3% as "medium term results" after follow-up for an average of 450 days [8] and a success rate of 68.5% after "long-term" follow-up of 24 months [9]. Other authors found similar or worse results.…”

Section: Introductionmentioning

confidence: 98%

Polyurethane stents for lacrimal duct stenoses: 5-year results

Bertelmann

Rieck

2005

Graefe's Arch Clin Exp Ophthalmo

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“…40 The Song lacrimal stent was found to initially relieve epiphora in 93-97% of patients. 41 However, long-term results of stent placement in the nasolacrimal system have not been encouraging. 42 Patency rates after stent placement decrease progressively with time: the five-year primary and secondary patency rates after stent placement in 609 lacrimal systems of 530 patients with epiphora were 19 and 34%, respectively.…”

Section: Lacrimal Stentingmentioning

confidence: 99%

Recent Developments in the Evaluation and Management of Adult Lacrimal Obstruction

Zaldívar¹,

Woog²

2007

US Ophthalmic Review

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Obstruction of the lacrimal drainage system can lead to various symptoms. These commonly include intermittent or constant epiphora, which is defined as tearing due to interference with tear drainage (as opposed to lacrimation, which reflects hypersecretion of tears). Acute or chronic dacryocystitis (lacrimal sac infection) may also develop. Obstruction may occur anywhere along the lacrimal drainage pathway from the punctum to the intranasal ostium of the nasolacrimal duct. Obstruction may be secondary to congenital, infectious, inflammatory, traumatic, or neoplastic processes. A thorough clinical history, physical examination, and, in some cases, radiological evaluation can assist in determining the etiology and appropriate therapy. Anatomy and PathophysiologyA thorough understanding of the anatomy of the lacrimal drainage system is vital in the evaluation and management of lacrimal obstruction.There is a close relationship among the orbit, intracranial space, and nose.

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Nasolacrimal Stents in the Management of Epiphora: Medium-term Results of a Multicenter Prospective Study

Cited by 34 publications

References 22 publications

Atlas of Lacrimal Surgery

Atlas of Lacrimal Surgery

Polyurethane stents for lacrimal duct stenoses: 5-year results

Recent Developments in the Evaluation and Management of Adult Lacrimal Obstruction

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