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Balloon dacryoplasty: A boon for dacryologists in managing persistent congenital nasolacrimal duct obstructions.
Singh, Manpreet; Kaur, Manpreet; Grewal, Aditi Mehta; Abhaypal, Khushdeep; Sharma, Manjula; Anjum, Nazia; Malik, Meenakshi.
Afiliação
  • Singh M; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Kaur M; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Grewal AM; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Abhaypal K; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Sharma M; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Anjum N; Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Malik M; Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Ophthalmol ; 72(6): 849-855, 2024 Jun 01.
Article em En | MEDLINE | ID: mdl-38804802
ABSTRACT

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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dacriocistorinostomia / Obstrução dos Ductos Lacrimais / Ducto Nasolacrimal Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Indian J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Índia País de publicação: Índia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dacriocistorinostomia / Obstrução dos Ductos Lacrimais / Ducto Nasolacrimal Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Indian J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Índia País de publicação: Índia