Abstract | PURPOSE: METHODS: This retrospective cohort study reviewed adults with unilateral or bilateral epiphora and presumed functional nasolacrimal duct obstruction treated with silicone intubation and followed for signs of treatment failure (defined as persistent epiphora or need for a secondary procedure). Median time to event (failure) after silicone intubation was calculated using Kaplan-Meier survival analysis. Analysis was conducted at the level of the individual eye, with clustering by person taken in account. Cox proportional hazards models were used and adjusted for within-subject variance using a robust sandwich estimator. RESULTS: Forty-four eyes from 30 patients with isolated functional nasolacrimal duct obstruction underwent silicone intubation for epiphora. Mean time to stent removal in 40 of 44 eyes was 4.0 (±4.1) months. Mean duration from the time of stent placement to last follow-up was 2.6 (±2.0) years. Overall success after silicone intubation for resolution of symptoms was 77%. Kaplan-Meier survival analysis for time to event after silicone intubation yielded a median time of 5.7 years. Extrapolated data demonstrated a 96% success rate at 2 years and 85% success rate at 3 years and predicted approximately 50% of patients to have relief of epiphora between 5 and 6 years after silicone intubation. CONCLUSIONS:
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Authors | Eve E Moscato, Angela M Dolmetsch, Rona Z Silkiss, Stuart R Seiff |
Journal | Ophthalmic plastic and reconstructive surgery
(Ophthalmic Plast Reconstr Surg)
2012 Jan-Feb
Vol. 28
Issue 1
Pg. 35-9
ISSN: 1537-2677 [Electronic] United States |
PMID | 22262288
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Epidemiologic Methods
- Female
- Humans
- Intubation
(methods)
- Lacrimal Apparatus Diseases
(therapy)
- Lacrimal Duct Obstruction
(therapy)
- Male
- Middle Aged
- Nasolacrimal Duct
- Silicone Elastomers
(administration & dosage)
- Stents
- Treatment Failure
- Young Adult
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