[Expert Solution]: LOCATION: Inpatient, Hospital PATIENT:…

LOCATION: Inpatient, Hospital PATIENT: Scotty Whitefield SURGEON: Rita Wimer, M.D. PREOPERATIVE DIAGNOSIS: 1. Nasolacrimal duct obstruction, right eye. 2. Chronic dacryocystitis, right eye, secondary to obstruction. 3. Status post failed probing, right eye. POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Balloon dilation, right nasolacrimal duct. ANESTHESIA: General endotracheal anesthesia. INDICATION: This 15-month-old white male has had bilateral nasolacrimal duct obstruction since birth. He underwent successful probing on both eyes several weeks ago but the right eye has failed and the parents have elected for balloon catheterization, possible canalicular intubation with silicone at this time. DESCRIPTION OF PROCEDURE: After the patient was placed under suitable general endotracheal anesthesia, the inferior superior puncta of the right eye were dilated with small, medium, and large punctum dilators and the C-loop was found to be patent with a Bowman probe. The balloon catheter was then inserted to the third hachure mark, inflated for 60 seconds, then to the second hachure for 90 seconds and then to the third hachure for 60 seconds. These were all done through the superior system. Fluorescein was copiously irrigated through the system, and retrieved in the nose and the mouth. Nolvadex drops were placed in the eye and the patient sent to the Recovery Room. There were no complications. idc10cm idc10cpt