Management of canalicular obstructions

Liarakos, Vasilios S.; Boboridis, Kostas; Mavrikakis, Emmanouil; Mavrikakis, Ioannis

doi:10.1097/icu.0b013e32832ec3e0

Cited by 54 publications

(36 citation statements)

References 29 publications

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“…Other approaches for canalicular obstruction such as canalicular trephine and laser are associated with few complications and are well tolerated. However, they have a lower rate of success 1 3 9 10…”

Section: Discussionmentioning

confidence: 99%

“…The overall satisfaction rate was 93.3%. Success rate of laser canaliculoplasty and trephination varies (43–87% symptomatic success at 12 months) 1 3 8. RC-BCI treatment achieved a relatively high success rate compared with laser canaliculoplasty and trephination for canalicular obstructions.…”

Section: Discussionmentioning

confidence: 99%

“…These techniques restore normal anatomical structure with fewer invasions compared with CDCR and DCR with retrograde intubation. However, the long-term recurrence is relatively high 1 3 10…”

Section: Introductionmentioning

confidence: 99%

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A novel procedure for treating canalicular obstruction by re-canaliculisation and bicanalicular intubation

Dong

Park

et al. 2011

Br J Ophthalmol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A novel procedure for treating canalicular obstruction by re-canaliculisation and bicanalicular intubation

Dong

Park

et al. 2011

Br J Ophthalmol

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“…In congenital anophthalmos or severe microphthalmos the lacrimal system is affected in up to 78% of the cases, mostly due to canalicular stenosis (58%), and less commonly, common canalicular stenosis (7.3%) 6263…”

Section: Canalicular Stenosismentioning

confidence: 99%

Assessment and management of proximal and incomplete symptomatic obstruction of the lacrimal drainage system

Kashkouli

Pakdel

Kiavash

2012

Middle East Afr J Ophthalmol

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Epiphora is a common complaint of patients who present to an Ophthalmology Clinic. In many cases, epiphora is due to an obstruction in the lacrimal drainage system. However, a subgroup of symptomatic patients with epiphora has a patent lacrimal drainage system. Such cases are usually termed ‘functional obstruction’ and / or ‘stenosis of the lacrimal drainage system’. Various etiologies and diagnostic and therapeutic approaches have been described in literature, which implies the lack of a standardized approach. This article will review the evolving diagnostic and therapeutic approaches in literature, and in the end, propose a paradigm in approaching this group of patients.

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“…Currently, surgery is the major mode of therapy for treating lacrimal passage obstruction; however, the success rate of this intervention remains unsatisfactory [6]. It has been previously reported that for complex congenital NLDO in infants older than 1 year of age, the success rate of probing lacrimal passage within 6 months is only 47.4% [7].…”

Section: Introductionmentioning

confidence: 99%

Modeling Chronic Dacryocystitis in Rabbits by Nasolacrimal Duct Obstruction with Self-Curing Resin

Hou

et al. 2017

Journal of Ophthalmology

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We established a chronic dacryocystitis model by injecting of 0.05, 0.1, and 0.15 ml self-curing resin via the lacrimal punctum in rabbits. Animals were randomized into four groups (n = 11 animals/group). The control group received 0.15 ml normal saline. Within three months postinjection, epiphora and eye discharge were observed. At the 90th day postlacrimal passage irrigation, CT dacryocystography was performed to find changes in the lacrimal image, and hematoxylin and eosin staining was made to identify pathological changes of the lacrimal sac. Three months postinjection, the rabbits in control group and those who received 0.05 and 0.1 ml self-curing resin failed to develop chronic dacryocystitis. However, 8/11 (72.7%) rabbits those received 0.15 ml self-curing resin were symptomatic and showed complete reflux in lacrimal passage irrigation, indicating the obstruction of the nasolacrimal duct. CT dacryocystography showed that the obstruction was present only in the animals with chronic dacryocystitis. Pathological examinations of chronic dacryocystitis also revealed significantly inflammatory changes, such as mucus epithelium thickening, irregular papillary proliferation, and submucosal fibrous deposition. Local injection of 0.15 ml self-curing resin can induce permanent obstruction of the nasolacrimal duct in rabbits and establish a model of chronic dacryocystitis.

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Management of canalicular obstructions

Cited by 54 publications

References 29 publications

A novel procedure for treating canalicular obstruction by re-canaliculisation and bicanalicular intubation

A novel procedure for treating canalicular obstruction by re-canaliculisation and bicanalicular intubation

Assessment and management of proximal and incomplete symptomatic obstruction of the lacrimal drainage system

Modeling Chronic Dacryocystitis in Rabbits by Nasolacrimal Duct Obstruction with Self-Curing Resin

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