A Multi-tool to Reduce Nasolacrimal Stent Complications With the Home-Removable Farson Crawford Tube

Autor: Robert W Arnold, Celia Haering, Kara Byers Beck
Rok vydání: 2015
Předmět:
Zdroj: Journal of pediatric ophthalmology and strabismus. 53(1)
ISSN: 1938-2405
Popis: Purpose: Tear duct obstruction can be treated with probing and stenting, providing a reduced reoperation rate. A new instrument combining punctual dilation with the graduated diameter probe and bony-rasp was developed to assist the procedure. Methods: Laterality, type of nasolacrimal disorder, type of procedure, patient age, and postoperative outcome were monitored for one surgeon for two decades. Results: From 617 cases of pediatric tear duct obstruction, 494 used the bilateral, monocanalicular Farson method, yielding a 1.7% reoperation rate and 0.6% wire-strip rate. The nasolacrimal duct dilator rasp multi-tool, used since 1996, had a similarly low rate of complications. Conclusions: The Farson technique with the multi-tool provides an affordable, effective procedure for childhood nasolacrimal obstruction, allowing home removal of the stent. [ J Pediatr Ophthalmol Strabismus . 2016;53(1):52–54.]
Databáze: OpenAIRE