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Nasolacrimal intubation in adults
T Fulcher1, M O'Connor, P Moriarty
1Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
The British Journal of Ophthalmology
|January 20, 1999
Summary
Silicone intubation effectively treats epiphora in adults, with over half experiencing complete symptom resolution. This procedure offers a successful alternative for managing tear duct obstructions in the adult population.
Area of Science:
- Ophthalmology
- Surgical Procedures
Background:
- Epiphora (excessive tearing) is a common condition.
- Silicone intubation is a recognized treatment for pediatric epiphora.
Purpose of the Study:
- To evaluate the efficacy of silicone intubation for epiphora in adult patients.
Main Methods:
- Nasolacrimal intubation was performed on 70 eyes in 53 adult patients.
- The average follow-up period was 15 months.
- Outcomes were assessed based on symptom improvement.
Main Results:
- Complete symptom resolution occurred in 54.3% of patients.
- Partial or transient improvement was noted in 24.3%.
- Outcomes were more favorable for canalicular obstructions (75.9% resolution) compared to nasolacrimal obstructions (25% resolution).
Conclusions:
- Silicone intubation is a successful treatment for adult epiphora.
- The procedure demonstrates good efficacy, with a low rate (17.1%) requiring subsequent dacryocystorhinostomy.