Mueller, H. Michael and Fries, Ulrich and Berkefeld, Joachim and Thalhammer, Axel and Kirchner, Johannes (1999) Indications and contraindications for balloon dacryocystoplasty. OPHTHALMOLOGE, 96 (2). pp. 97-101. ISSN 0941-293X,
Full text not available from this repository.Abstract
Purpose: The aim of the study was to determine the indications and contraindications for balloon dacryocystoplasty. Material and methods: So far, 85 patients with severe epiphora because of relative stenosis (n = 47) or occlusion (n = 38) of the nasolacrimal duct have undergone dilation. The success rates were evaluated during the acute phase and the follow-up period of 6-12 months. Treatment failures and recurrence of stenosis were analyzed and compared to the clinical and dacryocystographic indications prior to treatment. Results: A recanalization success rate of 79 % was achieved in patients with isolated postsaccal stenoses or short-distance occlusions of the nasolacrimal duct. Patients with additional presaccal and saccal stenoses, filling defects in the duct lumen, or long-distance occlusions had lower initial recanalization rates (66 %). Main predictors for recurrent obstructions were active inflammation, filling defects due to calculi, extensive occlusion and post-traumatic lesions. In the absense of these factors 12-month patency rates of 80 % were proved. Conclusion: Dacryocystoplasty procedures should preferably be performed in patients with circumscribed functional postsaccal stenosis. in these cases a success rate of about 80% is possible. Otherwise the value of the intervention is limited by high failure and recurrence rates.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DIGITAL SUBTRACTION MACRODACRYOCYSTOGRAPHY; NASOLACRIMAL DUCT OBSTRUCTION; SYSTEM; DILATION; APPARATUS; STENTS; lacrimal duct obstruction; balloon dilation; dacryocystography; dacryocystoplasty |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Pädiatrische Ophthalmologie, Strabismologie und Ophthalmogenetik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Nov 2022 13:48 |
| Last Modified: | 22 Nov 2022 13:48 |
| URI: | https://pred.uni-regensburg.de/id/eprint/48563 |
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