| Title | Countess of Chester: Nasolacrimal Obstruction Pathway 1 – Outcome of Nasolacrimal Duct Intubation in Adults with Acquired Nasolacrimal Duct Obstruction |
| Submitted by | Ivan Yip |
| Abstract Number | 302 |
| 19-112 | |
| Review Result | poster presentation |
| Purpose |
Acquired nasolacrimal duct obstruction (NLDO) in adults is traditionally treated with a dacryocystorhinostomy (DCR). DCR is an invasive procedure. Nasolacrimal duct intubation (NLDI) is a less invasive procedure. It is mostly used in children with congenital NLDO. There is very little literature available on the success of NLDI in an adult cohort with acquired NLDO. To evaluate the success of NLDI in the management of epiphora. |
| Methods |
Retrospective audit of all patients aged 18 and over at a single centre who underwent NLDI from December 2013 to December 2018. NLDI operations were under general anaesthetic and a monoka grande stent placed in situ. |
| Results |
Ninety-nine NLDI were carried out. Epiphora was relieved in 59.3% (54/91) patients. There were no peri- or post-operative complications. The stents were removed on average 4.3 months after the procedure and average follow up was 39.1 months. Thirty-seven patients did not get relief of symptoms, 30 of these patients underwent endoscopic DCR procedures and 4 of these patients eventually required an external DCR. |
| Conclusion |
NLDI can relieve symptoms of epiphora caused by NLDO. It is much less invasive than a DCR. Offering NLDI to patients with NLDO may help prevent patients undergoing the more invasive and time consuming DCR. |
Additional Authors
| Last name | Initials | City / Hospital | Department |
|---|---|---|---|
| Bhargava | J | Countess of Chester Hospital | Ophthalmology |
