Perioperative use of intravenous dexamethasone in the management of congenital nasolacrimal duct obstruction with balloon dacryoplasty

Hussein, Mohamed A.; Lopez, Priscilla

doi:10.1016/j.jaapos.2018.07.350

Cited by 1 publication

(1 citation statement)

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“…To further increase the success of BD, Hussein and Lopez (2018) added the use of intravenous dexamethasone perioperatively (0.5 mg/kg) to achieve higher success for BD procedures in primary CNLDO. [ 31 ] They compared 71 eyes (61 children) in the steroid group and 18 eyes (13 patients) in the no-steroid group. The rationale was to minimize the procedure-related edema of NLD, leading to a better success rate.…”

Section: Discussionmentioning

confidence: 99%

Balloon dacryoplasty: A boon for dacryologists in managing persistent congenital nasolacrimal duct obstructions

Singh,

Kaur,

Grewal

et al. 2024

Indian Journal of Ophthalmology

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Purpose: To study the outcomes of balloon dacryoplasty (BD) or (BDCP) in children with persistent congenital nasolacrimal duct obstruction (pCNLDO) by using new and reused balloon catheters. Methods: Our retrospective analysis focused on managing pCNLDO by using the BD or BDCP technique. The study included children aged >1 year to <12 years who underwent single or multiple probings before. Our specific lacrimal workup included a detailed history and examination, as published earlier. We used conventional, straight, 2 mm × 13 mm/3 mm × 15 mm lacrimal balloons (FCI, Ophthacath). We have described a technique to use the same catheter for three BD procedures (1 new + 2 reuse). The outcomes were categorized as complete success, partial success, and failure. The minimum follow-up of each child was 6 months. Results: We analyzed 64 children (89 eyes) with a mean age of 58 months (15–132 months). All children (100%) had epiphora with discharge and positive FDDT. All children underwent BD under general anesthesia – new balloons in 59 eyes and reused balloons in 30 eyes. The balloons were plasma sterilized akin to vitrectomy cutters and tubings of phaco machines. We noted three leaks from reused balloons (2 from the balloon tip and 1 from the plastic hub). At a mean follow-up of 14.5 months, complete success was noted in 77 eyes (86.5%) (52 new and 25 reuse), while 8 eyes had partial success (8.9%) (4 new and 4 reuse). Failure of BD was noted in four eyes (4.5%) (3 new and 1 reuse). None had significant complications with new or reused balloons. Conclusion: BD or BDCP is a quick, safe, easy, and effective procedure that resolves pCNLDO symptoms satisfactorily. Carefully reusing a conventional balloon catheter is possible with comparable efficacy and no additional complications in pCNLDO.

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Section: Discussionmentioning

confidence: 99%