An unusual complication of nasolacrimal duct probing.
A 4-mm segment of the tip of a 0000 probe broke off inside the nasolacrimal duct of an 11-month-old girl during probing for congenital nasolacrimal duct obstruction. Despite numerous attempts, the tip could not be extracted. Examination of the 000 end of the double-ended probe showed a narrow neck approximately 4 mm from the bulbous tip. Choosing an appropriate probe design, inspecting the probe before use, and selecting the appropriate probe size will help prevent this unusual complication.
Yeatts
R P
RP
Department of Ophthalmology, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC.
Crum
B
B
D003608:Dacryocystorhinostomy; D004868:Equipment Failure; D005260:Female; D005456:Fluorescent Dyes; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D007765:Lacrimal Apparatus / Q000000981:diagnostic imaging / Q000601:surgery*; D007767:Lacrimal Duct Obstruction / Q000151:congenital*; D011859:Radiography; D013525:Surgical Instruments; D013666:Tears / Q000378:metabolism
D005456:Fluorescent Dyes