Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age.


Journal Article

To report the outcome of nasolacrimal duct balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children younger than 4 years of age.One hundred two children (151 eyes) ages 12 to <48 months (mean, 23 months) at the time of surgery, who previously had not undergone a nasolacrimal surgical procedure and who presented with at least one of the following clinical signs of NLDO--epiphora, increased tear lake, and/or mucous discharge--were enrolled in a prospective, nonrandomized observational multicenter study (20 sites). All children received balloon catheter dilation of the nasolacrimal system of the affected eye(s).Treatment success was defined as no epiphora, increased tear lake, and/or mucous discharge present at the outcome visit at 1 month after surgery. The proportion of eyes treated successfully was 82% (95% CI: 74%-88%). The dye disappearance test at outcome was normal in 105 (73%), indeterminate in 15 (10%), and abnormal in 23 (16%) of the 143 eyes tested.In children 12 to <48 months of age, balloon catheter dilation as a primary treatment of NLDO was successful in approximately 80% of cases. Because we did not perform a randomized trial with a comparison group, we were unable to determine how this procedure's success rate compares with that of simple probing or nasolacrimal intubation in this age group.

Full Text

Cited Authors

  • Pediatric Eye Disease Investigator Group, ; Repka, MX; Melia, BM; Beck, RW; Chandler, DL; Fishman, DR; Goldblum, TA; Holmes, JM; Perla, BD; Quinn, GE; Silbert, DI; Wallace, DK

Published Date

  • October 2008

Published In

Volume / Issue

  • 12 / 5

Start / End Page

  • 451 - 455

PubMed ID

  • 18929305

Pubmed Central ID

  • 18929305

Electronic International Standard Serial Number (EISSN)

  • 1528-3933

International Standard Serial Number (ISSN)

  • 1528-3933

Digital Object Identifier (DOI)

  • 10.1016/j.jaapos.2008.07.001


  • eng