Monocanalicular versus bicanalicular silicone intubation for nasolacrimal duct stenosis in adults

Kashkouli, M.B. and Kempster, R.C. and Galloway, G.D. and Beigi, B. (2005) Monocanalicular versus bicanalicular silicone intubation for nasolacrimal duct stenosis in adults. Ophthalmic Plastic and Reconstructive Surgery, 21 (2). pp. 142-147.

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Ophthalmic Plastic & Reconstructive Surgery Volume 21 issue 2 2005 [doi 10.1097_01.iop.0000155524.04390.7b] Kashkouli, Mohsen Bahmani; Kempster, Roxanne C.; Galloway, Gavin -- Monocanalicular Versus.pdf

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Abstract

Purpose: To compare the success rate of monocanalicular versus bicanalicular silicone intubation of incomplete nasolacrimal duct obstruction (nasolacrimal duct stenosis) in adults. Methods: In a retrospective, nonrandomized comparative case series, 48 eyes of 44 adult patients with nasolacrimal duct stenosis underwent endoscopic probing and either bicanalicular (BCI; n = 22 eyes) or monocanalicular (MCI; n = 26 eyes) nasolacrimal duct intubation under general anesthesia. "Complete success" was defined as complete disappearance of the symptoms, "partial success" as improvement with some residual symptoms, and "failure" as absence of improvement or worsening of symptoms at last follow-up. The last follow-up examination included diagnostic probing and irrigation if there was not complete success. Results: Patient ages ranged from 31 to 90 years (mean, 69; SD, 11.5). Forty-five tubes were removed 6 to 17 weeks (mean, 9.1; SD, 3) after surgery. Premature tube dislocation and removal occurred in one eye with BCI and in two eyes with MCI. Follow-up ranged from 6 to 52 months (mean, 14.9; SD, 8.4). The complete success rate was nearly the same in eyes with MCI (16/26, 61.53) and BCI (13/22, 59.09). Partial success (MCI: 8/26, 30.76; BCI: 1/22, 4.54) and failure (MCI: 2/26, 7.69; BCI: 8/22, 36.36) were, however, significantly different (p = 0.010). Complications included 3 slit puncta with BCI and 4 temporary superficial punctuate keratopathy after MCI. Conclusions: MCI had virtually the same complete success rate as BCI, a higher partial success rate than BCI, and a lower failure rate than BCI in treatment of nasolacrimal duct stenosis in adults. ©2005 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.

Item Type: Article
Additional Information: cited By 25
Uncontrolled Keywords: silicone, adolescent; adult; aged; article; child; controlled study; female; human; infant; intermethod comparison; keratopathy; lacrimal duct; lacrimal duct occlusion; major clinical study; male; priority journal; surgical technique; treatment outcome, Adult; Aged; Aged, 80 and over; Female; Humans; Intubation; Lacrimal Duct Obstruction; Male; Middle Aged; Nasolacrimal Duct; Ophthalmologic Surgical Procedures; Retrospective Studies; Silicone Elastomers; Treatment Outcome
Subjects: WV Otolaryngology
Depositing User: Librarian Farzaneh Dini
Date Deposited: 04 May 2019 05:23
Last Modified: 04 May 2019 05:23
URI: http://eprints.iums.ac.ir/id/eprint/12185

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