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Updated: Jul 28, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Management of childhood epiphora
J E Marr1, A Drake-Lee, H E Willshaw
1Department of Paediatric Ophthalmology, Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
The British Journal of Ophthalmology
|August 23, 2005
Summary
A joint ophthalmology and otolaryngology team approach effectively manages childhood epiphora. This collaborative method shows high success rates for congenital and acquired nasolacrimal obstruction in children.
Area of Science:
- Ophthalmology
- Otolaryngology
- Pediatric Medicine
Background:
- Persistent epiphora in children often requires surgical intervention.
- Previous probing procedures may fail to resolve nasolacrimal duct obstruction.
- A multidisciplinary approach may offer improved outcomes.
Purpose of the Study:
- To evaluate the efficacy of a management protocol for pediatric epiphora.
- To assess the effectiveness of a combined ophthalmology and otolaryngology team approach.
- To determine success rates in managing congenital and acquired nasolacrimal obstruction.
Main Methods:
- Retrospective study of 70 children (92 eyes) with persistent epiphora.
- Inclusion criteria: failure of two previous probing procedures.
- Surgical procedures involved a joint team of pediatric ophthalmologist and otolaryngologist.
Main Results:
- A 73% success rate was achieved in children with congenital nasolacrimal obstruction.
- A 57% success rate was observed in children with acquired nasolacrimal obstruction.
- The joint approach demonstrated significant efficacy in resolving persistent epiphora.
Conclusions:
- Endonasal nasolacrimal intubation and endoscopic dacryocystorhinostomy (DCR) are safe and effective.
- These procedures offer a minimally invasive solution for pediatric epiphora.
- The joint team approach minimizes complication rates and avoids hospital admission.
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