What I treat
Lacrimal Intubation by Stent (Crawford, Retling, Mastertka)
Lacrimal intubation by stent is a surgical procedure used to treat congenital nasolacrimal duct obstruction (NLDO) in children. The goal of the procedure is to insert a small tube or stent into the tear duct to keep it open and allow for proper drainage of tears from the eye into the nasal cavity.
Who it's for
Lacrimal intubation by stent is typically recommended for children with congenital NLDO who have not responded to other treatments, such as probing or irrigation. It is usually performed on children between the ages of 6 months and 5 years, although it can be performed on older children and adults in some cases. It is essential to consult with an oculoplastic or ophthalmic surgeon to determine if lacrimal intubation by stent is the best course of treatment for your child's specific condition.
What to expect
During the procedure, a small probe is inserted into the tear duct to locate the blockage. A stent, such as a Crawford, Retling, or Mastertka tube, is then inserted into the tear duct to keep it open. The procedure can be performed with the assistance of a nasal endoscope, which allows the surgeon to visualize the nasal cavity and ensure proper placement of the stent, or as a blind procedure. After the procedure, the stent is left in place for several months to allow the tear duct to heal and form a new passage.
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