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Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age.


ABSTRACT: To report the outcome of nasolacrimal duct balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children younger than 4 years of age.One hundred two children (151 eyes) ages 12 to <48 months (mean, 23 months) at the time of surgery, who previously had not undergone a nasolacrimal surgical procedure and who presented with at least one of the following clinical signs of NLDO--epiphora, increased tear lake, and/or mucous discharge--were enrolled in a prospective, nonrandomized observational multicenter study (20 sites). All children received balloon catheter dilation of the nasolacrimal system of the affected eye(s).Treatment success was defined as no epiphora, increased tear lake, and/or mucous discharge present at the outcome visit at 1 month after surgery. The proportion of eyes treated successfully was 82% (95% CI: 74%-88%). The dye disappearance test at outcome was normal in 105 (73%), indeterminate in 15 (10%), and abnormal in 23 (16%) of the 143 eyes tested.In children 12 to <48 months of age, balloon catheter dilation as a primary treatment of NLDO was successful in approximately 80% of cases. Because we did not perform a randomized trial with a comparison group, we were unable to determine how this procedure's success rate compares with that of simple probing or nasolacrimal intubation in this age group.

SUBMITTER: Pediatric Eye Disease Investigator Group 

PROVIDER: S-EPMC2743152 | biostudies-literature | 2008 Oct

REPOSITORIES: biostudies-literature

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Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age.

Repka Michael X MX   Melia B Michele BM   Beck Roy W RW   Chandler Danielle L DL   Fishman Deborah R DR   Goldblum Todd A TA   Holmes Jonathan M JM   Perla Bernard D BD   Quinn Graham E GE   Silbert David I DI   Wallace David K DK  

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus 20081001 5


<h4>Purpose</h4>To report the outcome of nasolacrimal duct balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children younger than 4 years of age.<h4>Methods</h4>One hundred two children (151 eyes) ages 12 to <48 months (mean, 23 months) at the time of surgery, who previously had not undergone a nasolacrimal surgical procedure and who presented with at least one of the following clinical signs of NLDO--epiphora, increased tear lake, and/or m  ...[more]

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