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Arch Ophthalmol. 2009 May;127(5):633-9. doi: 10.1001/archophthalmol.2009.66.

Balloon catheter dilation and nasolacrimal duct intubation for treatment of nasolacrimal duct obstruction after failed probing.

Collaborators (206)

Sala NA, Hodde RM, Zeto VL, Hoover DL, Huston PA, Schloff S, Host VE, Morse CL, Fang CC, Tien DR, Bulan GE, Ledoux DM, Christ HC, McGuinness MB, Toro BG, Bremer DL, Cassady CM, Golden RP, McGregor ML, Rogers GL, Fellows RR, Paysse EA, Yen KG, Castanes M, Parker ML, Summers CG, Anderson JS, Bothun ED, Christiansen SP, Harrison AR, Holleschau AM, Merrill KS, Hogue KM, Steele A, Bardorf CM, Cohen JT, DeSantis DM, King RA, Kilpatrick J, Lufcy SA, Mosher AX, Vasquez CX, Lambert SR, Hutchinson AK, Robb RA, Silbert DI, Matta NS, Lee KA, Schweinler BR, Suh DW, McNeece M, Countryman RJ, Fergus L, Ticho BH, Khammar AJ, Clausius DA, Trigler L, Siatkowski RM, Dwiggins CJ, Weekley KS, Klimek DL, Sigmon CA, Winter LL, Bartiss MJ, McGaw TF, Lee DH, Caltrider ND, Martinez KA, Enyedi LB, Wallace DK, Jones SK, Weinstein J, Wilkinson MJ, Walter LE, Steinvurzel MD, Whitfill CR, Johnson DA, Dannar RD, Collins ML, Flanagan MA, Astle WF, Ashenhurst ME, Romanchuk KG, Paszuk AM, Peddie HJ, Weakley DR, Dias CL, Donahue SP, Morrison DG, Mofield GG, Owings SA, Forbes BJ, Katowitz JA, Mills MD, Quinn GE, Huebner A, Alvarado Taylor T, Ehnbom ML, Phillips DR, Zhu S, Gearinger MD, Fedick NM, Francis DM, Ruben JB, Desai D, Goldblum TA, Alfaro A, Baca R, Foster RR, Del Monte MA, Eibschitz-Tsimhoni M, Jackson JL, Stager DR, Felius J, Droste PJ, Peters RJ, Hilbrands J, Bradfield YS, Soderling ED, Silbert DI, Matta NS, Wheeler DT, Ng J, Stout AU, Beaudet KA, Nichols C, Rauch P, Susanka S, O'Hara M, Bartolacci MM, Levada AJ, Silbert JE, Comstock DN, Schleif C, Walker TL, Gentry LM, Marcil LA, Fishman DR, Verderber LC, Spieker J, Bacal DA, Chandler DL, Christiansen SP, Crouch ER 3rd, Everett DF, Holmes JM, Lee KA, Matta NS, Repka MX, Silbert DI, Schloff S, Schweinler B, Tien DR, Wallace DK, Zeto L, Beck RW, Becker BD, Boyle NM, Cagnina-Morales CM, Cagnina DA, Chandler DL, Clark LE, Constantine SR, Dawson KL, Donahue Q, Dupre M, Fimbel BP, Gillespie HA, Kraker RT, Lee SV, Lester LA, Mares ST, Melia BM, Moke PS, Pyner JL, Reese N, Rojas DE, Shrader SL, Strayer HJ, Everett DF, Beck RW, Birch EE, Christiansen SP, Cotter SA, Donahue SP, Everett DF, Holmes JM, Hoover DL, Kraker RT, Repka MX, Sala NA, Scheiman MM, Wallace DK, Baker JD, Barlow W, Buckley EG, Davis B, Dobson V, Keltner JL, Osman H, Palmer EA, Phelps DL, Poff SW, Saunders RA, Tychsen L, Diener-West M.

Author information

  • 1Jaeb Center for Health Research, Tampa, FL 33647, USA. pedig@jaeb.org

Abstract

OBJECTIVE:

To compare the outcomes of balloon catheter dilation and nasolacrimal intubation as treatment for congenital nasolacrimal duct obstruction after failed probing in children younger than 4 years.

METHODS:

We conducted a prospective, nonrandomized, multicenter study that enrolled 159 children aged 6 months to younger than 48 months who had a history of a single failed nasolacrimal duct probing and at least 1 of the following clinical signs of nasolacrimal duct obstruction: epiphora, mucous discharge, or increased tear lake. One hundred ninety-nine eyes underwent either balloon catheter nasolacrimal duct dilation or nasolacrimal duct intubation. Treatment success was defined as absence of epiphora, mucous discharge, or increased tear lake at the outcome visit 6 months after surgery.

RESULTS:

Treatment success was reported in 65 of 84 eyes (77%; 95% confidence interval, 65%-85%) in the balloon catheter dilation group compared with 72 of 88 eyes (84% after adjustment for intereye correlation; 74%-91%) in the nasolacrimal intubation group (risk ratio for success for intubation vs balloon dilation, 1.08; 0.95-1.22).

CONCLUSION:

Both balloon catheter dilation and nasolacrimal duct intubation alleviate the clinical signs of persistent nasolacrimal duct obstruction in a similar percentage of patients.

PMID:
19433712
[PubMed - indexed for MEDLINE]
PMCID:
PMC2682211
Free PMC Article
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