Management of childhood epiphora. Issue 9 (19th August 2005)

• Record Type: Journal Article
• Authors: Marr, J E; Drake-Lee, A; Willshaw, H E
• Is Part Of: British journal of ophthalmology. Volume 89:Issue 9(2005)
• Page Start: 1123
• Page End: 1126
• Publication Date: 2005-08-19
• Subjects: DCR, dacryocystorhinostomy; epiphora -- dacryocystorhinostomy -- endonasal; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjo.2005.069286
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : Aims: To examine the effectiveness of a management protocol for childhood epiphora using a joint ophthalmological and otolaryngological team approach. Method: A temporally defined retrospective study of 70 children (92 eyes) undergoing surgery for persistent epiphora, despite two previous technically successful probing procedures. All the operations involved a joint approach involving a paediatric ophthalmologist and a paediatric otolaryngologist. Results: In children with congenital nasolacrimal obstruction this joint approach yielded a 73% (89%) success rate, while in children with acquired nasolacrimal obstruction the success rate was 57%. Conclusions: Endonasal nasolacrimal intubation and endonasal DCR are safe and effective procedures for the management of persistent epiphora in children. They avoid the need for overnight admission and carry a minimal complication rate.