PMID: 8951762Nov 1, 1996Paper

Lacrimal canalicular obstructions: safety and effectiveness of balloon dilation

Journal of Vascular and Interventional Radiology : JVIR
H Y SongK B Sung

Abstract

Balloon dilation of the lacrimal canaliculi has been considered contraindicated because of possible damage to the canaliculi. The purpose of this study was to assess the safety and effectiveness of balloon dilation in treatment of obstruction of the lacrimal canaliculus. Fluoroscopically guided balloon dilation was performed in 26 eyes of 21 consecutive patients with epiphora due to lacrimal canalicular obstruction confirmed at dacryocystography. Nine of 26 eyes had complete obstruction and 17 eyes had incomplete obstruction. Technical failure occurred in one eye. Only one acute complication (punctal slitting) and no late complications occurred. At 7 days after balloon dilation, 14 of 17 eyes (82%) with incomplete obstruction and five of nine eyes (56%) with complete obstruction showed complete or partial resolution of epiphora with patency of the lacrimal drainage system. At 6-month follow-up, that improvement was maintained in seven of 17 eyes (41%) with incomplete obstruction and three of nine eyes (33%) with complete obstruction. Although the 6-month recurrence rate is rather high, balloon dilation seems to be safe and valuable as an initial therapy for patients with obstruction of the lacrimal canaliculus.

Citations

Feb 5, 2000·Cardiovascular and Interventional Radiology·K E WilhelmH H Schild
Dec 16, 2004·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·U LachmundK Wilhelm
Dec 16, 2004·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·U LachmundK Wilhelm
Dec 18, 2008·Japanese Journal of Ophthalmology·Suk-Woo YangDon O Kikkawa
Aug 2, 1997·Lancet·K R Thomson
Sep 1, 2005·European Journal of Radiology·Erhan T IlgitBilgen Coskun
Jun 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Kyung Rae KimYong Jae Lee
Sep 20, 2005·Orbit·Ulrich LachmundKai Wilhelm
Mar 27, 2009·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Paul A AthanasiovDinesh Selva
Oct 20, 2007·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Marc LüchtenbergJoachim Berkefeld

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