Balloon catheter dilation for treatment of adult with partial naolacrimal duct obtruction: a preliminary report Original Reearch Article

PURPOE: The purpoe of thi tudy i to determine the efficacy and morbidity of balloon catheter dilation for treatment of partial acquired naolacrimal duct obtruction in adult with epiphora. METHOD: We performed balloon dacryocytoplaty propectively on a erie of 15 partial naolacrimal duct obtruction in 13 adult with epiphora. Partial obtruction wa diagnoed by a negative Jone-1 tet and canalicular irrigation revealing imultaneou reflux through the oppoing punctum and drainage into the noe. Balloon dacryocytoplaty wa performed under local anetheia uing an antegrade inertion technique. ilicone intubation of the naolacrimal ytem wa performed immediately after balloon catheter dilation, and the tube were removed 2 month potoperatively. REULT: ucce wa meaured objectively and ubjectively at follow-up examination 2 month and 6 month after the procedure. At 2 month, 11 (73%) of 15 obtruction were open on irrigation, with ubjective ucce (Munk, grade 0 or grade 1) reported in 13 (87%) of 15 obtruction. At 6 month, 11 (73%) of 15 obtruction were open on irrigation, with ubjective ucce (Munk, grade 0 or grade 1) reported in 9 (60%) of 15 obtruction. CONCLUION: Balloon dacryocytoplaty may be a atifactory primary treatment for adult with acquired partial naolacrimal duct obtruction who exhibit no clinical ign of chronic infection. Additional long-term obervation following balloon dacryocytoplaty are required.