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Ballooning canaliculoplasty after lacrimal trephination in monocanalicular and common canalicular obstruction

  • Clinical Investigation
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Abstract

Purpose

To evaluate the clinical effect of balloon canaliculoplasty with LacriCATH after lacrimal trephination in monocanalicular and common canalicular obstruction.

Methods

Silicone intubation following ballooning dilation with a 2-mm-diameter catheter after lacrimal trephination was attempted in 66 eyes of 62 patients (10 men, 52 women; mean age, 67.3 years; age range, 34–77 years) with epiphora due to monocanalicular or common canalicular obstruction between January 2003 and February 2005. A total of 56 of the 66 eyes had common canalicular obstruction, and ten had monocanalicular obstruction.

Results

The cause of obstruction in 54 (81.8%) eyes was idiopathic. Overall initial technical improvement was achieved in 64 (97.0%) eyes (common canalicular obstruction, 56/56, 100%; monocanalicular obstruction, 8/10, 80.0%) Immediate clinical improvement was achieved in 54 eyes (81.8%). The cumulative patency rates at the last clinic visit were 53.6% in cases of common canalicular obstruction and 25.0% in cases of monocanalicular obstruction. Causes of failure were combined nasolacrimal duct obstruction, recurrent monocanalicular obstruction, and acute canaliculitis.

Conclusions

Balloon canaliculoplasty after lacrimal trephination is a simple and safe method that may be a good alternative treatment for common canalicular and distal canalicular obstructions, before resorting to conjunctivodacryorhinostomy with Jones tube insertion.

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References

  1. Khoubian JF, Kikkawa DO, Gonnering RS. Trephination and silicone tube intubation for the treatment of canalicular obstruction: effect of the level of obstruction. Ophthal Plast Reconstr Surg 2006;22:248–252.

    Article  PubMed  Google Scholar 

  2. Jones LT. The cure of epiphroa due to canalicular obstruction or trauma and surgical failures of the lacrimal passage. Trans Am Acad Ophthalmol Otolaryngol 1962;66:506–524.

    CAS  PubMed  Google Scholar 

  3. Rosen N, Ashkenazi I, Rosner M. Patient dissatisfaction after functionally successful conjuntivodacryocystorhinostomy with Jones tube. Am J Ophthalmol 1994;117:636–642.

    Article  CAS  PubMed  Google Scholar 

  4. Yoo JR, Choi WC. A survey of post-operative satisfaction in patient with canalicular obstruction after Jones tube intubation. J Korean Ophthalmol Soc 2002;43:2081–2088.

    Google Scholar 

  5. Hurwitz JJ. Treatment of canalicular obstructions. Can Ophthalmol 1982;17:13–16.

    CAS  Google Scholar 

  6. Tenzel RR. Canaliculodacryocystorhinostomy. Arch Ophthalmol 1970;84:765.

    Article  CAS  PubMed  Google Scholar 

  7. Kim YD, Lee JJ. The surgical results of dacryocystorhinostomy with internal punctoplasty for common canalicular obstruction. J Korean Ophthalmol Soc 1996;37:1979–1983.

    Google Scholar 

  8. Sisler HA, Allarakhia L. New minitrephine makes lacrimal canalicular rehabilitation an office procedure. Ophthalmic Plast Reconstr Surg 1990;6:203–206.

    Article  CAS  Google Scholar 

  9. Sisler HA, Allarakhia L. A new ophthalmic microtrephine. Ophthalmic Surg 1990;21:656–657.

    CAS  PubMed  Google Scholar 

  10. Park MS, Chi MJ, Baek SH. Clinical study of endoscopic endonasal conjunctivodacryocystorhinostomy with Jones tube placement. Ophthalmologica 2007;221:36–40.

    Article  PubMed  Google Scholar 

  11. Dutton JJ, Holck DE. Holmium laser canaliculoplasty. Ophthalmic Plast Reconstr Surg 1996;12:211–217.

    Article  CAS  Google Scholar 

  12. Choi WC, Yang SW. Endoscopy-guided transcaruncular Jones tube intubation without dacryocystorhinostomy. Jpn J Ophthalmol 2006;50:141–146.

    Article  PubMed  Google Scholar 

  13. Archer KF, Hurwitz JJ. An alternative method of canalicular stent tube placement in lacrimal drainage surgery. Ophthalmic Surg 1988;19:510–514.

    CAS  PubMed  Google Scholar 

  14. Song HY, Ahn HS, Park CK. Complete obstruction of the nasolacrimal system. Treatment with balloon dilation. Radiology 1993;186:367–371.

    Article  CAS  PubMed  Google Scholar 

  15. Lee JM, Song HY, Han YM. Balloon dacryocystoplasty: results in the treatment of complete and partial obstructions of the nasolacrimal system. Radiology 1994;192:503–508.

    Article  CAS  PubMed  Google Scholar 

  16. McCullough KM. Nasolacrimal duct balloon dilatation. Clin Radiol 1994;49:787–790.

    Article  CAS  PubMed  Google Scholar 

  17. Janssen AG, Mansour K, Krabbe GJ. Dacryocystoplasty: treatment of epiphora by means of balloon dilation of the obstructed nasolacrimal duct system. Radiology 1994;193:453–456.

    Article  CAS  PubMed  Google Scholar 

  18. Janssen AG, Mansour K, Bos JJ. Obstructed nasolacrimal duct system in epiphora: long-term results of dacryocystoplasty by means of balloon dilation. Radiology 1997;205:791–796.

    Article  CAS  PubMed  Google Scholar 

  19. Berkefeld J, Kirchner J, Muller HM. Balloon dacryocystoplasty: indications and contraindications. Radiology 1991;180:289.

    Article  Google Scholar 

  20. Malik SRK, Gupta AK, Chaterjee S, Bhardwaj OP, Saha M. Dacryocystography of normal and pathological lacrimal passages. Br J Ophthalmol 1969;53:174–179.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Song HY, Lee CO, Park S, et al. Lacrimal canalicular obstruction: Safety and effectiveness of balloon dilatation. J Vasc Interv Radiol 1996;7:929–934.

    Article  CAS  PubMed  Google Scholar 

  22. Ko GY, Lee DH, Ahn HS, Yoon HK, Kung KB, Song HY. Balloon catheter dilatation in common canalicular obstruction of the lacrimal system: safety and long term effectiveness. Radiology 2000;214:781–786.

    Article  CAS  PubMed  Google Scholar 

  23. Steinsapir KD, Glatt HJ, Putterman AM. A 16-year study of conjunctival dacryocystorhinostomy. Am J Ophthalmol 1990;109:387–393.

    Article  CAS  PubMed  Google Scholar 

  24. Jones LT. Conjunctivodacryocystorhinostomy. Am J Ophthalmol 1965;59:773–783.

    Article  CAS  PubMed  Google Scholar 

  25. Veloudios A, Harvey JT, Philippon M. Long term placement of silastic nasolacrimal tubes. Ophthalmic Surg 1991;22:225–227.

    CAS  PubMed  Google Scholar 

  26. Sekhar GC, Dortzbach RK, Gonnering RS, Lemke BN. Problems associated with conjunctivodacryocystorhinostomy. Am J Ophthalmol 1991;112:502–506.

    Article  CAS  PubMed  Google Scholar 

  27. Bartley GB, Gustafson RO. Complications of malpositioned Jones tube. Am J Ophthalmol 1990;109:66–69.

    Article  CAS  PubMed  Google Scholar 

  28. Munk PL, Lin DTC, Morris DC. Epiphora: treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus. Radiology 1990;177:687–690.

    Article  CAS  PubMed  Google Scholar 

  29. McCullough KM. Nasolacrimal duct balloon dilatation. Clin Radiol 1994;49:787–790.

    Article  CAS  PubMed  Google Scholar 

  30. Becker BB, Berry FD. Balloon catheter dilatation in lacrimal surgery. Ophthalmic Surg 1989;20:193–198.

    CAS  PubMed  Google Scholar 

  31. Berkefeld J, Kirchner J, Muller HM, Fries U, Kollath J. Balloon dacryocystoplasty: indications and contraindications. Radiology 1997;205:785–790.

    Article  CAS  PubMed  Google Scholar 

  32. Wilhelm KE, Hofer U, Textor HJ, Boker T, Strunk H, Schild HH. Nonsurgical fluoroscopically guided dacryocystoplasty of common canalicular obstructions. Cardiovasc Intervent Radiol 2000;23:1–8.

    Article  CAS  PubMed  Google Scholar 

  33. Lee DH, Song HY, Ahn H, et al. Balloon dacryocystoplasty: results and factors influencing outcome in 350 patients. J Vasc Interv Radiol 2001;12:500–506.

    Article  CAS  PubMed  Google Scholar 

  34. Park BS, Jang JW, Byon DS. Treatment of common canalicular obstruction using lacrimal trephine. J Korean Ophthalmol Soc 1998;39:1077–1081.

    Google Scholar 

  35. Tenzel RR. Canaliculodacryocystorhinostomy. Arch Ophthalmol 1970;84:765.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology and Visual Science, College of Medicine, Kangnam St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

    Suk-Woo Yang & Hae-Young Park

  2. Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Center, University of California, San Diego, La Jolla, CA, USA

    Don O. Kikkawa

Authors
  1. Suk-Woo Yang
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  2. Hae-Young Park
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  3. Don O. Kikkawa
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Corresponding author

Correspondence to Suk-Woo Yang.

Additional information

A shorter version of this paper was presented at a meeting of the American Society of Ophthalmic Plastic and Reconstructive Surgery, New Orleans, LA, USA, in October 2004

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Yang, SW., Park, HY. & Kikkawa, D.O. Ballooning canaliculoplasty after lacrimal trephination in monocanalicular and common canalicular obstruction. Jpn J Ophthalmol 52, 444–449 (2008). https://doi.org/10.1007/s10384-008-0598-7

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  • DOI: https://doi.org/10.1007/s10384-008-0598-7

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