Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Abstract

Background Hasner valve incision has been recently introduced as a new treatment for ophthalmic patients with epiphora symptoms. The aim of this study was to examine whether surgical outcomes of Hasner valve incision for inferior nasolacrimal duct obstruction were different between pediatric and adult patients. Methods A total of 53 eyes of 52 patients who underwent Hasner valve incision in the Beijing Tongren Hospital from October 2016 to November 2019 were retrospectively observed. Patients were divided into two groups, including pediatric group (23 eyes of 22 patients, <18 years old) and adult group (30 eyes of 30 patients, ≥18 years old). Success rate of surgery was determined by both subjective measure (complete resolution of epiphora) and objective measure (lacrimal passage irrigation and tear meniscus height). Fisher exact test was conducted. Results By conducting Fisher exact test and comparing complete resolution of epiphora ( P = 0.627), lacrimal passage irrigation ( P = 0.663), measurement of Tear Meniscus Height ( P = 0.561), and appearance of complication ( P = 0.339), there was no statistically significant difference of surgical outcomes between pediatric and adult patients ( P > 0.05). Conclusion Hasner valve incision was effective for both adult and children with inferior nasolacrimal duct obstruction, with no difference in surgical outcomes between the two groups.

Multi-disciplinary management of paediatric nasolacrimal duct obstruction at a tertiary hospital: A 5-year review

“…(5) Sun et al described Hasner valvulotomy to optimize distal end of NLD. (6) According to recent survey of paediatric ophthalmologists and oculoplastic surgeons in the UK, only 27% of primary S&P are done under nasal endoscopic guidance. (2) There is increasing evidence to support higher success rates of endoscopically assisted probing, especially in lowering false passage formation.…”