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Follow up of Nasolacrimal Intubation in Adults

This study has been completed.
Study NCT00706251.   Last updated on June 26, 2008.   Information provided by Shaare Zedek Medical Center

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Descriptive Information Fields
Brief Title  Follow up of Nasolacrimal Intubation in Adults
Official Title  Long Term Follow up of Nasolacrimal Intubation in Adults With Mild Epiphora
Brief Summary

For patients with chronic epiphora, Dacryocystorhinostomy is currently the gold standard treatment, with a success rate of 80-90% according to literature. Another available treatment, which is far less used, in nasolacrimal intubation, using a silicone tube.

In our study, we would like to find the efficacy of nasolacrimal duct intubation, which was performed in our medical center on a few hundred patients with mild epiphora.

Study hypothesis: nasolacrimal intubation in adults, with a clinically mild epiphora, is close in it's efficacy to the Dacryocystorhinostomy procedure.

Detailed Description

Under normal conditions, the amount of tears excreted from lacrimal glands to the eye is equal to the amount drained through the tear duct. Epiphora in adults usually involves a blockage of the lacrimal sac or the nasolacrimal duct. Epiphora causes tearing in patients, which can be treated sympthomatically in a conservative way (antibiotic treatment, probing of the tear duct, pressure irrigation of the tear duct) or therapeutic in an invasive way. The invasive treatment includes one of the following:

  1. Dacryocystorhinostomy - surgery for reconstructing an alternative path for tear drainage.
  2. Nasolacrimal intubation - inserting a silicone tube through the tear duct. The tube is usually removed after 3-6 months.

Currently, there are only a few reports regarding the efficacy of nasolacrimal intubation, all with a small number of research subjects. Also, these reports have stratified the patients according to the location of the tear duct blockage, and didn't take into account the severity of the blockage (ie the severity of symptoms) prior to performing the intubation.

In our research, we would like to find the efficacy of nasolacrimal intubation which was performed in our medical center on a few hundred patients with mild epiphora, and to compare in with the efficacy of the Dacryocystorhinostomy - which is 80-90% according to literature.

Study Phase
Study Type  Observational
Study Design  Cohort, Retrospective
Primary Outcome Measure  Patient being completely free of tearing. [ Time Frame: 1 year. ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Following nasolacrimal intubation, did the patient need a Dacryocystorhinostomy surgery. [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Condition  Lacrimal Apparatus Diseases
Dacryocystitis
Intervention  Device: Silicone tube
MEDLINE PMIDs 8597274,   3951812,   5635571,   5445947,   922571,   454271,   16547322
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  180
Start Date  January 2000
Completion Date
Eligibility Criteria 

Inclusion Criteria:

  • Clinical diagnosis of mild epiphora.
  • Underwent nasolacrimal intubation during 01/2000 - 12/2007.

Exclusion Criteria:

  • Purulent excretions from nasolacrimal duct on day of admission or intubation.
  • Nasolacrimal intubation in the past.
  • Dacryocystorhinostomy in the past.
Gender Both
Ages 18 Years to 75 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  Israel
Administrative Information Fields
NCT ID  NCT00706251
Organization ID LTFNIAME
Secondary IDs ††
Study Sponsor  Shaare Zedek Medical Center
Collaborators ††
Investigators 
Study Director:     Arie Nemet, MD     Shaare Zedek Medical Center, Maccabi Healthcare    
Study Chair:     Arie Nemet, MD     Shaare Zedek Medical Center, Maccabi Healthcare    
Principal Investigator:     Arie Nemet, MD     Shaare Zedek Medical Center, Maccabi Healthcare    
Information Provided By Shaare Zedek Medical Center
Verification Date June 2008
First Received Date  June 26, 2008
Last Updated Date June 26, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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