Evidence map›Paper›PMID 42174514›Full record

ArticleBMC ophthalmology2026

Nasolacrimal balloon dacryoplasty versus nasolacrimal bi-canalicular intubation for the management of congenital nasolacrimal duct obstruction with a previous failed probing or intubation: a retrospective study.

Lamiaa Salem, Mohamed El Sada, Rawan Hosny, R A El-Essawy

Abstract readComparative Study
In one paragraph

Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Lamiaa SalemResearch Institute of Ophthalmology, Giza, 12511, Egypt. Lamia_salem@hotmail.com.
Mohamed El SadaDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo University, Cairo, 11956, Egypt.
Rawan HosnyDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo University, Cairo, 11956, Egypt. rawan.m.hosny@students.kasralainy.edu.eg.
R A El-EssawyDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo University, Cairo, 11956, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the results and complications of nasolacrimal duct intubation and balloon dacryoplasty (BDCP) for the treatment of cases with recurrent epiphora following previous probing or intubation.

methodsA retrospective study including patients with recurrent nasolacrimal duct obstruction following previous probing or intubation whether retreated with balloon dacryoplasty or bi-canalicular intubation. All procedures were performed by the same surgeon. The results were evaluated and compared using a Modified Munk classification.

resultsThe study included 103 eyes of 77 patients; 53 eyes (51.5%) underwent BDCP and 50 eyes (48.5%) underwent bi-canalicular intubation. Mean age was 4.03 ± 2.71 years (range 9 months to 12 years). Most eyes (85.5%) had severe pre-operative disease (Modified Munk grades 4 and 5). Post-operative, all patients showed improvement in terms of grading according to MMC; the collective success rate of both procedures in both groups was 51.5%, 69.7%, 86.7% and 88.9% at 1 week, 1-, 3- and 6-months post-op. respectively. Subgroup analysis revealed earlier successful outcome in group B compared to group A (p-value = 0.002), yet this relationship is reversed with Group A (BDCP) having 96% success at 6 months follow-up compared to 80% in Group B (Bi-canalicular intubation) (p-value = 0.021). Baseline demographic and clinical characteristics were comparable between the two groups, with no statistically significant differences in age, sex distribution, type of previous intervention (p-value = 0.95), or pre-operative Modified Munk grades. Complications were minimal and insignificant in both groups.

conclusionBalloon dacryoplasty showed a 96% success rate compared to 80% success rate of intubation after 6 months follow up. Higher success rates of treatment of recurrent CNLDO epiphora is seen when the previous procedure was a simple probing.

Indexed as

CatheterizationDacryocystorhinostomyIntubationLacrimal Duct ObstructionNasolacrimal DuctChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleRecurrenceRetrospective StudiesTreatment OutcomeBalloon dacryoplastyBi-canalicular intubationCongenital nasolacrimal duct obstructionFailed intubationFailed probingRecurrent epiphora

Identifiers

PMID42174514
PMCPMC13202974

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.