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Japanese Journal of Ophthalmology
Published in: Japanese Journal of Ophthalmology 4/2016

01-07-2016 | Clinical Investigation

Success rates of dacryoendoscopy-guided probing for recalcitrant congenital nasolacrimal duct obstruction

Authors: Masahiro Fujimoto, Ken Ogino, Hiroko Matsuyama, Chika Miyazaki

Published in: Japanese Journal of Ophthalmology | Issue 4/2016

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Abstract

Purpose

Our aim was to review the success rates of dacryoendoscopy-guided probing for recalcitrant congenital nasolacrimal duct obstruction (CNLDO).

Methods

We reviewed the medical records of 498 patients (521 eyes) diagnosed with CNLDO between January 2011 and November 2013. Of these, 54 eyes met the eligibility criteria and underwent probing with a dacryoendoscope.

Results

Of the 54 eyes, 21 were classified as failed cases at other hospitals, 13 as cases requiring conversion from blind to dacryoendoscopy-guided probing during surgery at our hospital, and 20 as cases requiring intervention under general anesthesia because of difficulty with topical anesthesia. The overall success rate with dacryoendoscopy was 98.1 % (53/54 eyes) at postoperative week 2 and 97.1 % (33/34 eyes) a year after surgery. Among the cases that failed at other hospitals, one showed the formation of five false passages in the middle area of the nasolacrimal duct. In 11 eyes, slit-like adhesion was confirmed as a blurred linear line at the distal end of the nasolacrimal duct. Patency could be smoothly achieved by releasing the adhesion.

Conclusions

Our study showed a high success rate for dacryoendoscopy-guided probing in CNLDO patients. The use of a dacryoendoscope allows direct visualization of the lacrimal passage and is likely to become necessary for managing CNLDO.
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Metadata
Title
Success rates of dacryoendoscopy-guided probing for recalcitrant congenital nasolacrimal duct obstruction
Authors
Masahiro Fujimoto
Ken Ogino
Hiroko Matsuyama
Chika Miyazaki
Publication date
01-07-2016
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 4/2016
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-016-0445-1

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