Treatment of nasolacrimal duct obstruction in adults with polyurethane stent

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dc.contributor.authorParlak, Melih
dc.contributor.buuauthorYazıcı, Bülent
dc.contributor.buuauthorYazıcı, Zeynep
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/İç Hastalıkları Anabilim Dalı/Radyoloji Bilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Oftalmoloji Anabilim Dalı.tr_TR
dc.date.accessioned2021-07-08T11:18:59Z
dc.date.available2021-07-08T11:18:59Z
dc.date.issued2001-01
dc.description.abstractPURPOSE: To evaluate the efficacy of polyurethane nasolacrimal duct stents in the treatment of epiphora resulting from primary acquired nasolacrimal duct obstruction in adults. MATERIALS AND METHODS: In 25 patients (21 women and four men with mean age of 44 years, range 20 to 74 years) with nasolacrimal duct obstruction, 28 hollow polyurethane stents designed by Song and associates were placed under fluoroscopic guidance. The obstruction was complete in 20 lacrimal drainage systems and partial in eight. The lacrimal sac size was normal or large on dacryocystogram in all lacrimal drainage systems. A Ritleng probe was introduced through the upper punctum and advanced past the obstruction. A guide wire with a flexible tip was then introduced through the probe, over which the stent was advanced in retrograde fashion and placed into the lacrimal sac and nasolacrimal duct. Clinical success was defined by the demonstration of a completely patent lacrimal drainage pathway through saline irrigation and no or minimal complaint of epiphora. RESULTS: Stent placement was technically successful in 26 of 28 lacrimal drainage systems (93%). The mean time of fluoroscopy screening was 3.2 minutes (range, 1.4 to 5.8 minutes). The overall success rate was 82% (23 of 28 lacrimal drainage systems). Two stents were completely occluded. In one lacrimal drainage system with minimal epiphora, the stented drainage pathway was partially occluded. The patients were followed up from 4 to 22 months (mean, 7.2 months). CONCLUSIONS: Retrograde placement of a hollow polyurethane nasolacrimal duct stent is a technique that is simple and well tolerated by patients. This method achieves a high success rate and may be suggested as a nonsurgical procedure for adults with primary nasolacrimal duct obstruction and proper lacrimal sac size. The Ritleng probe facilitates the procedure.en_US
dc.identifier.citationYazıcı, B. vd. (2001.). "Treatment of nasolacrimal duct obstruction in adults with polyurethane stent". American Journal of Ophthalmology,131(1), 37-43.en_US
dc.identifier.endpage43tr_TR
dc.identifier.issn0002-9394
dc.identifier.issue1tr_TR
dc.identifier.pubmed11162977tr_TR
dc.identifier.scopus2-s2.0-0035172227tr_TR
dc.identifier.startpage37tr_TR
dc.identifier.urihttps://doi.org/10.1016/S0002-9394(00)00702-9
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0002939400007029?via%3Dihub
dc.identifier.urihttp://hdl.handle.net/11452/21187
dc.identifier.volume131tr_TR
dc.identifier.wos000166429600007tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherElsevier Scienceen_US
dc.relation.collaborationYurtiçitr_TR
dc.relation.journalAmerican Journal of Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectExternal dacryocystorhinostomyen_US
dc.subjectBalloon dacryocystoplastyen_US
dc.subjectNonsurgical placementen_US
dc.subjectSystemen_US
dc.subjectEpiphoraen_US
dc.subjectDilationen_US
dc.subjectSuccessen_US
dc.subjectOphthalmologyen_US
dc.subject.wosOphthalmologyen_US
dc.titleTreatment of nasolacrimal duct obstruction in adults with polyurethane stenten_US
dc.typeArticle
dc.wos.quartileQ2en_US

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