Dacryocystoplasty: treatment of epiphora by means of balloon dilation of the obstructed nasolacrimal duct system

Radiology. 1994 Nov;193(2):453-6. doi: 10.1148/radiology.193.2.7972762.


Purpose: To evaluate treatment of epiphora due to acquired stenotic obstruction of the nasolacrimal duct system with dacryocystoplasty (DCP), in which balloon dilation is used to alleviate the obstruction.

Materials and methods: Twenty patients (21 eyes) with epiphora due to obstructing lesions at the saccular or subsaccular level were treated with DCP. The authors used a catheter with a balloon diameter of only 3 mm to prevent damage to the nasolacrimal duct system and a nontraumatizing guide wire. Stent placement was not considered necessary. Follow-up ranged from 14 to 70 weeks.

Results: Cannulation was not possible in one case of complete obstruction. DCP was successfully performed in the other 20 cases. In 18 of these cases (90%), results comparable with those of dacryocystorhinostomy were achieved. No side effects were observed.

Conclusion: DCP is potentially the treatment of choice for epiphora due to acquired stenotic obstruction of the nasolacrimal duct system.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheterization* / instrumentation
  • Catheterization* / methods
  • Female
  • Humans
  • Lacrimal Duct Obstruction / diagnostic imaging
  • Lacrimal Duct Obstruction / therapy*
  • Male
  • Middle Aged
  • Nasolacrimal Duct* / diagnostic imaging
  • Radiography, Interventional