ePoster 29

Feb 19, 2017 by AAPOS editor in  e-Poster Session 1

Kaneka Stents for the Treatment of Nasolacrimal Duct Obstruction

David I. Silbert, MD

Conestoga Eye
Lancaster, Pennsylvania, USA

Introduction:  The Kaneka Lacriflow Stent is a newly introduced self-retaining bi-canalicular intubation set, which can be placed without retrieval from the nose. The simplified insertion process decreases intraoperative time and intranasal trauma. The stent is not tied in the nose and can be removed easily in the office. We review a cohort of children to evaluate the success rate of stent placement for NLDO.

Methods:  Stents were placed in an outpatient surgery center under general anesthesia in pediatric patients. The stent is placed with a stylet through both punctum and self-retains due to a widened portion sitting distal to the common canaliculis in the lacrimal duct and sac. It does not require recovery from or removal from the nose.

Results:  Children were between the ages of 1-12 years. Stents were left in place for 3 months. Stent’s were placed successfully in 11 of 14 eyes. Two eye’s of 2 different patients were not able to have the stent placed. There was an improvement in symptoms in all 8 eyes of 7 patients who we have follow up data on.

Discussion:  Kaneka Lacriflow stents can be removed easily in the office without entering the nose making them ideal for use in children. A new insertion technique, bending the stylet should allow it to be used in even the youngest children.

Conclusion:  Kaneka Lacriflow stents can be successfully placed in children to treat epiphora.

References:  Silbert DI: Use of a self-retaining bicanalicular nasolacrimal stent for partial nasolacrimal obstruction in adults without need for general anesthesia. ARVO Annual meeting abstract; June 2015

Celenk F1, Mumbuc S, Durucu C, Karatas ZA, Aytaç I, Baysal E, Kanlikama M: Pediatric endonasal endoscopic dacryocystorhinostomy.Int J Pediatr Otorhinolaryngol. 2013 Aug;77(8):1259-62.

Cunningham MJ1: Endoscopic management of pediatric nasolacrimal anomalies.Otolaryngol Clin North Am; 2006 Oct;39(5):1059-74

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