Balloon Dilatation of the Canaliculus Communis for Chronic Epiphora
Vonmoos F.1, Lachmund U.2, Forrer A.3, Petralli C.2
1Vista Klinik, Binningen, Switzerland; 2Department of Radiology, Kantonsspital Bruderholz, Switzerland; 3Department of Ophthalmology, Kantonsspital Aarau, Switzerland
Purpose: To examine the clinical outcome of the balloon dilatation in stenosis of the canaliculus communis.
Method: Between 01.03.1999 and 26.03.2003 15 patients with epiphora and proven obstruction of the canaliculus communis by dacryocystography (DCG) were treated with balloon dilatation in local anaesthesia. In 8/15 patients also a stenosis of the nasolacrimal duct was found. One patient was clinically diagnosed as occlusion at both sides, DCG showed a highgrade stenosis of the canaliculus communis. All patients were treated electively.
Results: In 13/15 patients the balloon dilatation was technically successful, in 2 patients the guide wire could not be placed in the nose cavity. There were no complications. Over a mean follow-up of 6 months there were 3 reobstructions, one of these led to an occlusion of the canaliculus communis. This patient had a chronic dacryocystitis in both eyes and an occlusion of the canaliculus communis in the other eye. In one patient an occlusion was diagnosed clinically, a concomitant ectropium was therefore not operated. The DCG proved a high grade stenosis of the canaliculus communis. After DCP in both eyes the patient was free of symptoms on one eye and improved at the
Zurück | Back