Balloon dacryocystoplasty: Results in the treatment of complete and partial obstructions of the nasolacrimal system

Jeong Min Lee, Ho Young Song, Young Min Han, Gyung Ho Chung, Myung Hee Sohn, Chong Soo Kim, Ki Chul Choi

Research output: Contribution to journalArticlepeer-review

84 Scopus citations

Abstract

PURPOSE: To evaluate the effectiveness of balloon dacryocystoplasty (DCP) in the treatment of complete and partial obstruction of the nasolacrimal system (NLS). MATERIALS AND METHODS: Fluoroscopically guided balloon DCP was attempted in 57 eyes of 50 consecutive patients with complete obstruction of the NLS and 24 eyes of 22 patients with partial obstruction of the NLS. With nasal endoscopic guidance, a 0.018-inch guide wire was introduced through the superior punctum into the inferior meatus of the nasal cavity and pulled out through the nare with a hemostat. A deflated angioplasty balloon catheter was introduced in a retrograde direction over the guide wire, and the balloon was dilated. RESULTS: Initial technical and clinical success was achieved in 29 of 57 eyes (51%) with complete obstruction and 17 of 24 eyes (71%) with partial obstruction. The 2-year cumulative clinical patency rates were 25% and 20% for partial and complete obstructions, respectively. The overall cumulative patency rate for all 81 eyes was 23%. CONCLUSION: Balloon DCP is simple and safe but has high failure and recurrence rates.

Original languageEnglish (US)
Pages (from-to)503-508
Number of pages6
JournalRadiology
Volume192
Issue number2
DOIs
StatePublished - Aug 1994
Externally publishedYes

Keywords

  • Lacrimal gland and duct
  • Lacrimal gland and duct, interventional procedure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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