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Updated: Aug 14, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Balloon catheter dilatation in lacrimal surgery
1Jules Stein Eye Institute, UCLA School of Medicine.
Ophthalmic Surgery
|March 1, 1989
Summary
Balloon catheter dilatation successfully restored tear drainage in most patients with failed dacryocystorhinostomy. Repeat procedures can effectively manage recurring epiphora, offering a viable treatment option.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Dacryocystorhinostomy (DCR) is a surgical procedure to restore tear drainage.
- Failed DCR can lead to persistent epiphora (watery eye).
Observation:
- This study evaluated balloon catheter dilatation for failed DCR in four patients.
- Patients presented with symptoms of epiphora due to lacrimal drainage obstruction.
Findings:
- Three out of four patients achieved a patent lacrimal drainage system and relief from epiphora post-procedure.
- One patient experienced a transient partial response, and another had recurring epiphora that responded to a second dilatation.
Implications:
- Balloon catheter dilatation is a minimally invasive option for treating failed DCR.
- Recurrence of epiphora may be managed with repeat interventions, improving patient outcomes.
