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2007•European Journal of OphthalmologyRequires access

Long-Term Results of Closed Nasolacrimal Intubation in Adults

Amit Shah, A.K. Tekriwal, Peter M. Drummond, Geoffrey Woodruff

Open publisher page 18 citations

Abstract

PURPOSE: Dacryocystorhinostomy (DCR) is the standard surgical treatment for adult nasolacrimal duct obstruction. There have been relatively few studies of closed nasolacrimal duct intubation in adults. The aim of this study was to determine rates of anatomic patency following this procedure. METHODS: The authors carried out a survey of all patients undergoing closed nasolacrimal duct intubation as a primary procedure over a period of 3 years and 4 months. There were 32 eligible patients of whom 20 attended for review. RESULTS: A total of 75% of these cases had patent drainage after follow-up of between 6 months and 3 years. The proportion of patients with persistent patency after intubation was the same regardless of length of follow-up. CONCLUSIONS: The minimally invasive procedure of lacrimal intubation may have a role in some adults with nasolacrimal duct obstruction.

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What this paper is about

PURPOSE: Dacryocystorhinostomy (DCR) is the standard surgical treatment for adult nasolacrimal duct obstruction. There have been relatively few studies of closed nasolacrimal duct intubation in adults. The aim of this study was to determine rates of anatomic patency following this procedure. METHODS: The authors carried out a survey of all patients undergoing closed nasolacrimal duct intubation as a primary procedure over a period of 3 years and 4 months. There were 32 eligible patients of whom 20 attended for review. RESULTS: A total of 75% of these cases had patent drainage after follow-up of between 6 months and 3 years. The proportion of patients with persistent patency after intubation was the same regardless of length of follow-up. CONCLUSIONS: The minimally invasive procedure of lacrimal intubation may have a role in some adults with nasolacrimal duct obstruction.

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Available abstract

PURPOSE: Dacryocystorhinostomy (DCR) is the standard surgical treatment for adult nasolacrimal duct obstruction. There have been relatively few studies of closed nasolacrimal duct intubation in adults. The aim of this study was to determine rates of anatomic patency following this procedure. METHODS: The authors carried out a survey of all patients undergoing closed nasolacrimal duct intubation as a primary procedure over a period of 3 years and 4 months. There were 32 eligible patients of whom 20 attended for review. RESULTS: A total of 75% of these cases had patent drainage after follow-up of between 6 months and 3 years. The proportion of patients with persistent patency after intubation was the same regardless of length of follow-up. CONCLUSIONS: The minimally invasive procedure of lacrimal intubation may have a role in some adults with nasolacrimal duct obstruction.

Key concepts: Medicine, Intubation, Nasolacrimal duct, Nasolacrimal duct obstruction, Surgery, Dacryocystorhinostomy

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