Congenital nasolacrimal duct obstruction: Should we continue lacrimal massage till 1 year or perform an office probing at 6 months? A clinical decision analysis approach

Kothari, Mihir; Rathod, Vivek; Shah, Kruti A; Shikhangi, Khushboo; Singhania, Renu

doi:10.4103/ijo.ijo_245_16

Cited by 3 publications

(2 citation statements)

References 3 publications

(11 reference statements)

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“…The sample size was calculated using the WHO calculator, taking a confidence level of 95%, margin of error of 10%, and reported success rate of 84.2%. 4 The minimum estimated sample size came out to be 36 patients. Forty patients were included, among which five patients had epiphora in both eyes.…”

Section: Methodsmentioning

confidence: 99%

“…Spontaneous resolution usually occurs in 95% of cases within 12 months that is regarded as a normal variant. 4 Children with congenital nasolacrimal duct obstruction may have associated conjunctivitis, dacryocystitis, mucocele or pyocele formation, and chronic disease may lead to lacrimal fistula formation. CNLDO can lead to serious complications, i.e., acute dacryocystitis, preseptal cellulitis, orbital cellulitis and frequent respiratory tract infections.…”

Section: Introductionmentioning

confidence: 99%

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Outcome of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction in Children Under Local Anesthesia

Sharif¹,

Munir

Arshad

et al. 2022

PAFMJ

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Objectives: To evaluate the success rate of probing and syringing for congenital nasolacrimal duct obstruction in children under local anaesthesia. Study Design: Cross-sectional study. Place and Duration of Study: Ophthalmology Department, Niazi Medical Dental College, Sargodha Pakistan, from Jul 2018 to Dec 2019 Methodology: Forty-five children were included in the study, of which five had bilateral epiphora. Children of 8-12 months of age were included in this study. Probing and syringing were done under topical local anaesthesia. In this study, special modified straight 25D lacrimal probe cannula was used. Post-operative steroids and antibiotics were given to all the children for two weeks. Results: Forty Children (45 Eyes) of 8-12 months of age (less than one year) were included in this study. Single successful probing was achieved in 40 eyes (88.88%). Probing was repeated in five cases. Repeated successful probing was achieved in 3 eyes (60%) as the remaining two eyes (40%) where success was not achieved had a bone abnormality which needed an ENT examination and further intervention like Dacryocystorhinostomy (DCR) with close intubation. Conclusion: Topical local anaesthesia is a good alternative to general anaesthesia as it is not available, particularly in remote areas of Pakistan. It saves the children from the hazards of general anaesthesia and is a good choice for children who are not fit for general anaesthesia.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Outcome of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction in Children Under Local Anesthesia

Sharif¹,

Munir

Arshad

et al. 2022

PAFMJ

View full text Add to dashboard Cite

show abstract

Management of congenital nasolacrimal duct obstruction: results of a national survey of paediatric and oculoplastic ophthalmologists

Golash

Kaur

Athwal

et al. 2020

Eye

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Efficacy of Office-Based Nasolacrimal Duct Probing

Bach¹,

Vanner²,

Warman³

2019

J Pediatr Ophthalmol Strabismus

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Purpose: To analyze the efficacy of nasolacrimal duct probing conducted in the office for nasolacrimal duct obstruction. Methods: A retrospective chart review was conducted of 1,294 patients. Of those, 1,227 patients who underwent office-based nasolacrimal probings of the nasolacrimal duct at a single tertiary care center were included. Results: A total of 82 (6.7%) patients needed reprobing. Of the 82 patients who underwent a second procedure, 35 (43%) underwent a second in-office probing with a success rate of 77%. The 8 (22%) patients who failed the second in-office probing underwent probing and Crawford stent placement in the operating room and their symptoms resolved. For the 47 (57%) patients who failed the primary in-office probing and underwent operating room probing and stent placement, only 1 (2%) needed a second operating room probing and stent placement. Logistic regression analyses indicated an increased likelihood of needing a secondary procedure with increased age at the time of the first probing. Conclusions: This large, retrospective analysis of office-based probings demonstrated a success rate of 93.3% with increased likelihood of not needing a second procedure with probing at a younger age. This study demonstrates an excellent success rate for in-office probings for patients both younger and older than 12 months. This not only shows a high rate of efficacy, but is also highly cost efficient when compared to primary probing in the operating room. [ J Pediatr Ophthalmol Strabismus . 2019;56(1):50–54.]

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Congenital nasolacrimal duct obstruction: Should we continue lacrimal massage till 1 year or perform an office probing at 6 months? A clinical decision analysis approach

Cited by 3 publications

References 3 publications

Outcome of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction in Children Under Local Anesthesia

Outcome of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction in Children Under Local Anesthesia

Management of congenital nasolacrimal duct obstruction: results of a national survey of paediatric and oculoplastic ophthalmologists

Efficacy of Office-Based Nasolacrimal Duct Probing

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