Effect of Probing in Congenital Nasolacrimal Duct Obstruction in Children Older Than 2 Years
| Autor: | Sushma Subhash Kulkarni, Vaishali Lalit Une, Varsha Sharad Nandedkar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine Lacrimal Duct Obstruction 030225 pediatrics medicine Humans In patient Prospective Studies Child Strabismus Nasolacrimal duct business.industry Endoscopy General Medicine medicine.disease Surgery Ophthalmology Treatment Outcome Nasolacrimal duct obstruction medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Female business Dacryocystorhinostomy Nasolacrimal Duct Fluorescein dye disappearance test Follow-Up Studies |
| Zdroj: | Journal of Pediatric Ophthalmology & Strabismus. 56:141-145 |
| ISSN: | 1938-2405 0191-3913 |
| DOI: | 10.3928/01913913-20190122-01 |
| Popis: | Purpose: To determine the effect of probing for congenital nasolacrimal duct obstruction in children older than 2 years. Methods: A prospective interventional case series included 110 eyes of 94 patients with congenital nasolacrimal duct obstruction (CNLDO) aged 2 years or older, with no previous intervention. The diagnosis was based on clinical findings (epiphora, discharge, regurgitation test, and fluorescein dye disappearance test). The children were divided into two groups: 2 to 5 years and 6 to 8 years. Probing of the nasolacrimal duct under general anesthesia was done. Success was predefined as resolution of symptoms and signs that persisted 3 months postoperatively. Another probing was done at 4 to 6 weeks when necessary before considering the final outcome as a failure. The chi-square test was used to analyze the result. Results: Patients' ages ranged from 2 to 8 years (average age: 55 months). Twenty-six (28%) patients needed a second probing. The overall success rate was 80%: 85% in the 2 to 5 years group and 73% in the 6 to 8 years group. The success rate was significantly lower in patients with complex obstruction (33.3%). The outcome of probing was not affected by the age of the patients ( P = .2305). Conclusions: Probing is a viable primary surgical option in CNLDO in older children and hence should not be withheld in children who are referred late. [ J Pediatr Ophthalmol Strabismus . 2019;56(3):141–145.] |
| Databáze: | OpenAIRE |
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