Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Incidence of canalicular closure with endonasal dacryocystorhinostomy without intubation in primary nasolacrimal duct obstruction
Author: Cannon, P.
Chan, W.
Selva-Nayagam, D.
Citation: Ophthalmology, 2013; 120(8):1688-1692
Publisher: Elsevier Science Inc
Issue Date: 2013
ISSN: 0161-6420
Statement of
Paul S. Cannon, WengOnn Chan, Dinesh Selva
Abstract: <h4>Purpose</h4>To describe the incidence of canalicular closure with powered endonasal dacryocystorhinostomy (DCR) without canalicular intubation in primary acquired nasolacrimal duct obstruction (PANDO).<h4>Design</h4>A single-surgeon, prospective, nonrandomized, noncomparative, interventional case series.<h4>Participants</h4>Consecutive patients attending a specialist clinic of an oculoplastic surgeon (DS) with radiologically confirmed diagnosis of PANDO. Cases of canalicular disease were excluded.<h4>Methods</h4>Patients with radiologically confirmed PANDO without canalicular involvement underwent endonasal DCR without intubation. The operation was performed by 1 surgeon (DS) and follow-up was at 4 weeks and 12 months.<h4>Main outcome measures</h4>Outcomes were recorded as subjective symptomatic relief at 12 months and endoscopic evidence of ostium patency and canalicular patency.<h4>Results</h4>There were 132 cases that fulfilled the inclusion criteria. Three cases were lost to follow-up. Preoperatively, 96.3% of cases had Munk scores of >2. Of the 129 cases, 127 (98.5%) had endoscopic evidence of a patent ostium with a positive endoscopic dye test at the 12-month follow-up. All cases had a patent canalicular system as demonstrated by syringing and probing. Of the 129 cases, 117 (90.7%) had subjective improvement of epiphora at 12 months with 88.4% of cases reporting Munk scores of ≤1.<h4>Conclusions</h4>In this prospective series of nonintubation for PANDO, there were no cases of canalicular closure or stenosis at 12 months. Anatomic and functional success was similar to reported outcomes for DCR with intubation for PANDO. We advocate that routine intubation for the purpose of maintaining canalicular patency is not necessary when performing endonasal DCR in PANDO.<h4>Financial disclosure(s)</h4>Proprietary or commercial disclosure may be found after the references.
Keywords: Nasolacrimal Duct
Lacrimal Duct Obstruction
Treatment Outcome
Prospective Studies
Aged, 80 and over
Middle Aged
Young Adult
Rights: Copyright © 2013 American Academy of Ophthalmology.
DOI: 10.1016/j.ophtha.2013.01.023
Appears in Collections:Aurora harvest
Opthalmology & Visual Sciences publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.