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Updated: Jul 31, 2025
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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Different Modalities for Management of Pediatric Epiphora
Mostafa Talaat Abd-El Hakeem1, Adel Abdallah1, Rasha Abdelmoneim1
1Otorhinolaryngology Department, Faculty of Medicine, Minia University, Minia, Egypt.
Clinical Ophthalmology (Auckland, N.Z.)
|May 8, 2023
Summary
Different treatments for childhood epiphora, including conservative measures and surgical interventions like dacryocystorhinostomy (DCR), show varying success rates. Addressing associated sinonasal issues is key for effective management and preventing recurrence.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Epiphora, or excessive tearing, in children can be caused by nasolacrimal duct obstruction.
- Management strategies range from conservative approaches to surgical interventions.
Purpose of the Study:
- To assess the efficacy and safety of various treatments for pediatric nasolacrimal duct obstruction and epiphora.
- To evaluate the impact of concomitant sinonasal pathology on treatment outcomes.
Main Methods:
- A prospective, non-randomized study involving 98 children (149 eyes) with epiphora.
- Treatments included conservative measures, probing, silicone stent intubation, endoscopic dacryocystorhinostomy (DCR), and external DCR.
- Interventions were performed jointly by otorhinolaryngologists and ophthalmologists.
Main Results:
- Conservative measures achieved a 32.6% success rate.
- Silicone stents had a success rate with a 3-6 month removal period.
- Dacryocystorhinostomy (DCR) demonstrated an 85.7% success rate, with revision rates of 10-14.3% across procedures. 62.2% of patients had sinonasal issues.
Conclusions:
- Conservative measures, probing, intubation, and DCR (endoscopic and external) are safe and effective for pediatric epiphora.
- Addressing concurrent sinonasal or nasopharyngeal diseases is critical for successful epiphora management, recurrence prevention, and reduced morbidity.
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