The authors aimed to report the clinical outcomes of antegrade balloon dacryocystoplasty (DCP) followed by pushed-type monocanalicular (MC), combined as a primary management for congenital nasolacrimal duct obstruction (CNLDO). This was a retrospective study of 62 eyes (48 patients) with mean age of 24.13 months (range 12-66): 25 male, 37 female. There were 14 bilateral and 34 unilateral cases. Mean duration of tube insertion was 9.48 days (4-15). Surgical success was noted in 60 eyes. Two eyes had persistent obstruction with epiphora. Others had no intra- or postoperative complications. Early stent loss occurred in two eyes. Limitations of this study are its retrospective nature, small sample size and limited follow-up of one month providing short-term outcomes only. Given the high early success rate, the authors propose further study with a larger population and longer follow-up. They propose this combined surgery as showing potential for high success rates.
Combination surgical management for congenital lacrimal duct obstruction
Reviewed by Fiona Rowe
Surgical outcomes of balloon dacryocystoplasty combined with pushed-type monocanalicular intubation as the primary management for congenital nasolacrimal duct obstruction.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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