Balloon catheter dilation and nasolacrimal duct intubation for treatment of nasolacrimal duct obstruction after failed probing
Michael X Repka, Danielle L Chandler, Jonathan M Holmes, Darren L Hoover, Christine L Morse, Susan Schloff, David I Silbert, D Robbins Tien, Pediatric Eye Disease Investigator Group, Nicholas A Sala, Rhonda M Hodde, Veda L Zeto, Darren L Hoover, Pamela A Huston, Susan Schloff, Valori E Host, Christine L Morse, Caroline C Fang, D Robbins Tien, Glenn E Bulan, Danielle M Ledoux, Heidi C Christ, Myra B McGuinness, Brenda G Toro, Don L Bremer, Cybil M Cassady, Richard P Golden, Mary Lou McGregor, Gary L Rogers, Rae R Fellows, Evelyn A Paysse, Kimberly G Yen, Maria Castanes, Michele L Parker, C Gail Summers, Jill S Anderson, Erick D Bothun, Stephen P Christiansen, Andrew R Harrison, Ann M Holleschau, Kimberly S Merrill, Katherine M Hogue, Anna Steele, Christopher M Bardorf, Justin T Cohen, Diana M DeSantis, Robert A King, Jamie Kilpatrick, Shari A Lufcy, Andrea X Mosher, Crystal X Vasquez, Scott R Lambert, Amy K Hutchinson, Rachel A Robb, David I Silbert, Noelle S Matta, Katherine A Lee, Bonita R Schweinler, Donny W Suh, Marilee McNeece, Rhonda J Countryman, Lisa Fergus, Benjamin H Ticho, Alexander J Khammar, Deborah A Clausius, Lucas Trigler, R Michael Siatkowski, Connie J Dwiggins, Kathy S Weekley, Deborah L Klimek, Crystal A Sigmon, Lisa L Winter, Michael John Bartiss, Tennille F McGaw, Dave H Lee, Nieca D Caltrider, Kelly A Martinez, Laura B Enyedi, David K Wallace, Sarah K Jones, Joel Weinstein, Michael J Wilkinson, Laura E Walter, Mark D Steinvurzel, Charles R Whitfill, David A Johnson, Ruth D Dannar, Mary Louise Z Collins, Maureen A Flanagan, William F Astle, Michael E Ashenhurst, Kenneth G Romanchuk, Ania M Paszuk, Heather J Peddie, David R Weakley, Clare L Dias, Sean P Donahue, David G Morrison, Genise G Mofield, Sandy A Owings, Brian J Forbes, James A Katowitz, Monte D Mills, Graham E Quinn, Alexandra Huebner, Tina Alvarado Taylor, Melissa L Ehnbom, David R Phillips, Sonia Zhu, Matthew D Gearinger, Nancy M Fedick, Doreen M Francis, James B Ruben, Dipti Desai, Todd A Goldblum, Angela Alfaro, Rachel Baca, Regan R Foster, Monte A Del Monte, Maya Eibschitz-Tsimhoni, Jorie L Jackson, David R Stager, Joost Felius, Patrick J Droste, Robert J Peters, Jan Hilbrands, Yasmin S Bradfield, Erika D Soderling, David I Silbert, Noelle S Matta, David T Wheeler, John Ng, Ann U Stout, Kimberley A Beaudet, Claudia Nichols, Paula Rauch, Sharon Susanka, Mary O'Hara, Maedi M Bartolacci, Andrew J Levada, Jonathan E Silbert, David N Comstock, Cheryl Schleif, Tabitha L Walker, Lakiesha M Gentry, Lisa A Marcil, Deborah R Fishman, Lisa C Verderber, JoAnn Spieker, Darron A Bacal, Danielle L Chandler, Stephen P Christiansen, Eric R Crouch 3rd, Donald F Everett, Jonathan M Holmes, Katherine A Lee, Noelle S Matta, Michael X Repka, David I Silbert, Susan Schloff, Bonita Schweinler, D Robbins Tien, David K Wallace, Lori Zeto, Roy W Beck, Brian D Becker, Nicole M Boyle, Christina M Cagnina-Morales, Debora A Cagnina, Danielle L Chandler, Laura E Clark, Sharon R Constantine, Katrina L Dawson, Quayleen Donahue, Mitchell Dupre, Brooke P Fimbel, Heidi A Gillespie, Raymond T Kraker, Stephanie V Lee, Lee Anne Lester, Shelly T Mares, B Michele Melia, Pamela S Moke, Jim L Pyner, Nicole Reese, Diana E Rojas, Sydney L Shrader, Heidi J Strayer, Donald F Everett, Roy W Beck, Eileen E Birch, Stephen P Christiansen, Susan A Cotter, Sean P Donahue, Donald F Everett, Jonathan M Holmes, Darren L Hoover, Raymond T Kraker, Michael X Repka, Nicholas A Sala, Mitchell M Scheiman, David K Wallace, John D Baker, William Barlow, Edward G Buckley, Barry Davis, Velma Dobson, John L Keltner, Hana Osman, Earl A Palmer, Dale L Phelps, Stephen W Poff, Richard A Saunders, Lawrence Tychsen, Marie Diener-West, Michael X Repka, Danielle L Chandler, Jonathan M Holmes, Darren L Hoover, Christine L Morse, Susan Schloff, David I Silbert, D Robbins Tien, Pediatric Eye Disease Investigator Group, Nicholas A Sala, Rhonda M Hodde, Veda L Zeto, Darren L Hoover, Pamela A Huston, Susan Schloff, Valori E Host, Christine L Morse, Caroline C Fang, D Robbins Tien, Glenn E Bulan, Danielle M Ledoux, Heidi C Christ, Myra B McGuinness, Brenda G Toro, Don L Bremer, Cybil M Cassady, Richard P Golden, Mary Lou McGregor, Gary L Rogers, Rae R Fellows, Evelyn A Paysse, Kimberly G Yen, Maria Castanes, Michele L Parker, C Gail Summers, Jill S Anderson, Erick D Bothun, Stephen P Christiansen, Andrew R Harrison, Ann M Holleschau, Kimberly S Merrill, Katherine M Hogue, Anna Steele, Christopher M Bardorf, Justin T Cohen, Diana M DeSantis, Robert A King, Jamie Kilpatrick, Shari A Lufcy, Andrea X Mosher, Crystal X Vasquez, Scott R Lambert, Amy K Hutchinson, Rachel A Robb, David I Silbert, Noelle S Matta, Katherine A Lee, Bonita R Schweinler, Donny W Suh, Marilee McNeece, Rhonda J Countryman, Lisa Fergus, Benjamin H Ticho, Alexander J Khammar, Deborah A Clausius, Lucas Trigler, R Michael Siatkowski, Connie J Dwiggins, Kathy S Weekley, Deborah L Klimek, Crystal A Sigmon, Lisa L Winter, Michael John Bartiss, Tennille F McGaw, Dave H Lee, Nieca D Caltrider, Kelly A Martinez, Laura B Enyedi, David K Wallace, Sarah K Jones, Joel Weinstein, Michael J Wilkinson, Laura E Walter, Mark D Steinvurzel, Charles R Whitfill, David A Johnson, Ruth D Dannar, Mary Louise Z Collins, Maureen A Flanagan, William F Astle, Michael E Ashenhurst, Kenneth G Romanchuk, Ania M Paszuk, Heather J Peddie, David R Weakley, Clare L Dias, Sean P Donahue, David G Morrison, Genise G Mofield, Sandy A Owings, Brian J Forbes, James A Katowitz, Monte D Mills, Graham E Quinn, Alexandra Huebner, Tina Alvarado Taylor, Melissa L Ehnbom, David R Phillips, Sonia Zhu, Matthew D Gearinger, Nancy M Fedick, Doreen M Francis, James B Ruben, Dipti Desai, Todd A Goldblum, Angela Alfaro, Rachel Baca, Regan R Foster, Monte A Del Monte, Maya Eibschitz-Tsimhoni, Jorie L Jackson, David R Stager, Joost Felius, Patrick J Droste, Robert J Peters, Jan Hilbrands, Yasmin S Bradfield, Erika D Soderling, David I Silbert, Noelle S Matta, David T Wheeler, John Ng, Ann U Stout, Kimberley A Beaudet, Claudia Nichols, Paula Rauch, Sharon Susanka, Mary O'Hara, Maedi M Bartolacci, Andrew J Levada, Jonathan E Silbert, David N Comstock, Cheryl Schleif, Tabitha L Walker, Lakiesha M Gentry, Lisa A Marcil, Deborah R Fishman, Lisa C Verderber, JoAnn Spieker, Darron A Bacal, Danielle L Chandler, Stephen P Christiansen, Eric R Crouch 3rd, Donald F Everett, Jonathan M Holmes, Katherine A Lee, Noelle S Matta, Michael X Repka, David I Silbert, Susan Schloff, Bonita Schweinler, D Robbins Tien, David K Wallace, Lori Zeto, Roy W Beck, Brian D Becker, Nicole M Boyle, Christina M Cagnina-Morales, Debora A Cagnina, Danielle L Chandler, Laura E Clark, Sharon R Constantine, Katrina L Dawson, Quayleen Donahue, Mitchell Dupre, Brooke P Fimbel, Heidi A Gillespie, Raymond T Kraker, Stephanie V Lee, Lee Anne Lester, Shelly T Mares, B Michele Melia, Pamela S Moke, Jim L Pyner, Nicole Reese, Diana E Rojas, Sydney L Shrader, Heidi J Strayer, Donald F Everett, Roy W Beck, Eileen E Birch, Stephen P Christiansen, Susan A Cotter, Sean P Donahue, Donald F Everett, Jonathan M Holmes, Darren L Hoover, Raymond T Kraker, Michael X Repka, Nicholas A Sala, Mitchell M Scheiman, David K Wallace, John D Baker, William Barlow, Edward G Buckley, Barry Davis, Velma Dobson, John L Keltner, Hana Osman, Earl A Palmer, Dale L Phelps, Stephen W Poff, Richard A Saunders, Lawrence Tychsen, Marie Diener-West
Abstract
Objective: To compare the outcomes of balloon catheter dilation and nasolacrimal intubation as treatment for congenital nasolacrimal duct obstruction after failed probing in children younger than 4 years.
Methods: We conducted a prospective, nonrandomized, multicenter study that enrolled 159 children aged 6 months to younger than 48 months who had a history of a single failed nasolacrimal duct probing and at least 1 of the following clinical signs of nasolacrimal duct obstruction: epiphora, mucous discharge, or increased tear lake. One hundred ninety-nine eyes underwent either balloon catheter nasolacrimal duct dilation or nasolacrimal duct intubation. Treatment success was defined as absence of epiphora, mucous discharge, or increased tear lake at the outcome visit 6 months after surgery.
Results: Treatment success was reported in 65 of 84 eyes (77%; 95% confidence interval, 65%-85%) in the balloon catheter dilation group compared with 72 of 88 eyes (84% after adjustment for intereye correlation; 74%-91%) in the nasolacrimal intubation group (risk ratio for success for intubation vs balloon dilation, 1.08; 0.95-1.22).
Conclusion: Both balloon catheter dilation and nasolacrimal duct intubation alleviate the clinical signs of persistent nasolacrimal duct obstruction in a similar percentage of patients.
Source: PubMed