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Radiology, Vol 193, 453-456, Copyright © 1994 by Radiological Society of North America

ARTICLES

Dacryocystoplasty: treatment of epiphora by means of balloon dilation of the obstructed nasolacrimal duct system

AG Janssen, K Mansour, GJ Krabbe, S van der Veen and AH Helder
Department of Diagnostic Radiology, Algemeen Ziekenhuis de Tjongerschans, Heerenveen, The Netherlands.

PURPOSE: To evaluate treatment of epiphora due to acquired stenotic obstruction of the nasolacrimal duct system with dacryocystoplasty (DCP), in which balloon dilation is used to alleviate the obstruction. MATERIALS AND METHODS: Twenty patients (21 eyes) with epiphora due to obstructing lesions at the saccular or subsaccular level were treated with DCP. The authors used a catheter with a balloon diameter of only 3 mm to prevent damage to the nasolacrimal duct system and a nontraumatizing guide wire. Stent placement was not considered necessary. Follow-up ranged from 14 to 70 weeks. RESULTS: Cannulation was not possible in one case of complete obstruction. DCP was successfully performed in the other 20 cases. In 18 of these cases (90%), results comparable with those of dacryocystorhinostomy were achieved. No side effects were observed. CONCLUSION: DCP is potentially the treatment of choice for epiphora due to acquired stenotic obstruction of the nasolacrimal duct system.


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