BALLOON CATHETER DILATATION FOR TREATMENT OF ACQUIRED NASOLACRIMAL DUCT OBSTRUCTION
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Purpose: To determine the efficacy of balloon catheter dilatation, with or without silicone intubation for treatment of acquired epiphora. Patients and Methods: We hod used aru3ioplas4j balloon catheter with diameter 3 mm and length of the working segment 20 mm, in an antegrade fashion guided by nasal endoscope. In twenty obstructed nasolacrimal systems in 20 adult patients divided into 2 groups, group A includes 5 patients in whom, we do dilatation alone. Group B in whom dilatation was followed by silicone intubation for 2 months. Follow up at 2 weeks,/, 2, 4 and 6 months postoperatively. Subjective success as well as objertine success by Jones If test was recorded Results: For group A, there was initial surnoss followed by marked decline to 20% after 6 month. For group B, there was success rate about 60% after 2 months increased to 66.6096 at 4 and 6 months postoperatively. Conclusion: Balloon catheter dilatation with the aid of nasal endoscope followed by silicone intubation may be good alternative to other techniques for treatment of acquired epiphora. Key words: Balloon catheter, lacrimal obstruction, epiphora, nasal endoscope.