Stemplewitz B, Amin S, Emmerich KH, Gesser-Wendt C, Meyer-Rüsenberg HW. [Minimally invasive lacrimal duct surgery with a multimodal concept for functional lacrimal stenosis].
Klin Monbl Augenheilkd 2015;
232:44-50. [PMID:
25611500 DOI:
10.1055/s-0034-1383388]
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Abstract
PURPOSE
The aim of this study was to evaluate the long-term success rates of a multimodal concept for treating functional nasolacrimal duct obstruction (FNLDO) consisting of minimally invasive lacrimal duct surgery and additional treatment of the conjunctiva, the puncta or the lids if necessary.
METHODS
Clinical outcomes and subjective symptoms of 118 consecutive patients with the main diagnosis FNLDO were studied in a retrospective design.
RESULTS
Of the 118 cases 64 % were treated by microendoscopy and microdrill only while 36 % needed additional treatments. In 76 % of all cases (82 % in the group of patients who were treated by microdrill only) the patients reported their symptoms to have "improved" after a median follow-up of 14 months. Up to the age of 70 years more women were affected by FNLDO, while it was more common among male patients above this age. In older patients additional treatment especially tightening of the lids was required more frequently.
CONCLUSION
Transcanalicular microendoscopy of the lacrimal duct alone or in combination with additional treatments, if needed, showed satisfactory long-term outcomes in patients suffering from FNLDO and can be considered a valuable and minimally invasive option for these patients.
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