Efficacy of probing for children with congenital nasolacrimal duct obstruction: a retrospective study using fluorescein dye disappearance test and lacrimal sac echography

Steindler, P; Mantovani, E.; Incorvaia, Carlo; Parmeggiani, Francesco

doi:10.1007/s00417-008-1022-1

Cited by 9 publications

(5 citation statements)

References 41 publications

(88 reference statements)

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“…According to some studies, bilateral symptoms are present in about 15-30% of children with CNLDO [25,26]. In our study, 38% of patients underwent bilateral probing.…”

Section: Discussionsupporting

confidence: 53%

Probing without Irrigation in Children with Congenital Nasolacrimal Duct Obstruction

Isaza¹,

Arora²

2013

CIM

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Purpose: The purpose of this study was to evaluate the results of probing, without fluorescein irrigation, as a primary treatment for epiphora and/or mucous discharge, secondary to congenital nasolacrimal duct obstruction (CNLDO) Methods: The medical records of nine-two children (127 eyes) with CNLDO who underwent a single probing without the use of fluorescein irrigation between January 2006 and December 2011 were reviewed retrospectively. Inclusion criteria were no prior nasolacrimal surgical procedure, history of epiphora and/or discharge since birth or shortly after birth in one or both eyes and at least one of the following clinical signs: epiphora, muco-purulent discharge and increased tear meniscus height. Children were investigated in two sub-groups based on age at time of probing; group 1 (51 eyes/40 children) included children who underwent probing at age ≤ 2 years and group 2 (76 eyes/52 children) included children who underwent probing at age > 2years. The primary outcome was the complete disappearance of symptoms and signs in the affected eye(s), assessed at 3 months after surgery. Results: The success rate for the overall sample was 83.5 % (106/127 eyes), in group 1 was 90.2% (46/51) and in group 2 was 78.9% (60/76). There was no significant difference in success rate between groups (p=0.094). Gender (p=0.292), affected eye (p=0.647) and bilateral cases (p=0.739) were not associated with successful elimination of symptoms. Conclusion: Probing without fluorescein irrigation for CNLDO beyond 1 year of age is highly successful and comparable to the published efficacy rates of the traditional probing with fluorescein irrigation.

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“…According to some studies, bilateral symptoms are present in about 15-30% of children with CNLDO [25,26]. In our study, 38% of patients underwent bilateral probing.…”

Section: Discussionsupporting

confidence: 53%

Probing without Irrigation in Children with Congenital Nasolacrimal Duct Obstruction

Isaza¹,

Arora²

2013

CIM

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“…Unsuccessful probings mainly result from intraoperative problems, such as incomplete mucosal perforation, submucosal passage, and false passage formation [28], all of which could be regarded as substantial disadvantages to office-based procedures.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Initial and Repeated Nasolacrimal Duct Office-Based Probing for Congenital Nasolacrimal Duct Obstruction

Sun

Lee

Park³

et al. 2010

Korean J Ophthalmol

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PurposeTo characterize the outcomes of initial and repeated office-based probing as a primary treatment for congenital nasolacrimal duct obstruction (CNLDO) in children.MethodsThe medical records of patients who underwent nasolacrimal duct office-based probing for CNLDO between March 2004 and January 2008 were reviewed retrospectively. Nasolacrimal duct probing was performed on 244 eyes from 229 consecutive patients with CNLDO. Patients who were refractory to the first probing underwent a second probing 4 to 8 weeks later.ResultsBased on exclusion criteria, 244 eyes from 229 patients (117 males and 112 females), aged 6 to 71 months (mean, 12.4 ± 8.36) were included. The success rate of the initial probing was 80% (196 of 244) for all patients, 82% (111 of 136) in the 6 to 12 month age group, 79% (64 of 81) in the 13 to 18 months age group, and 78% (21 of 27) among individuals older than 19 months (p = 0.868, Pearson chi-square test). The success rate of the second probing was 61% (25 of 41) for all patients, 74% (17 of 23) in the 6 to 12 months age group, 58% (7 of 12) in the 13 to 18 months age group, and 17% (1 of 6) among individuals older than 19 months (p = 0.043, Fisher's exact test).ConclusionsWhile the success rate of initial nasolacrimal duct probing is not affected by age, the rate of success rate with a second probing was significantly lower in patients older than 19 months. Based on the results, authors recommend further surgical interventions, such as silicone tube intubation or balloon dacryocystoplasty, instead of repeated office probing for patients older than 19 months, if an initial office probing has failed.

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“…6,[13][14][15][16][17][18][19][20][21][22] Lacrimal drainage system obstruction may be correlated with by aging. 14 Different reported reliability indices might be attributed to FDDT grading system, population selection, effect of fluorescein volume (drop or strip usage), number of strips, location of fluorescein placement, position of head during the test, and type of lacrimal obstruction.…”

Section: Discussionmentioning

confidence: 99%

Reliability of Fluorescein Dye Disappearance Test in Assessment of Adults With Nasolacrimal Duct Obstruction

Kashkouli¹,

Mirzajani²,

Jamshidian-Tehrani³

et al. 2013

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Efficacy of probing for children with congenital nasolacrimal duct obstruction: a retrospective study using fluorescein dye disappearance test and lacrimal sac echography

Abstract: In children with CNLDO-related epiphora, B-scan echography of the LS can represent a reliable and useful examination for a better understanding of the functional prognosis after probing treatment.

Cited by 9 publications

References 41 publications

Probing without Irrigation in Children with Congenital Nasolacrimal Duct Obstruction

Probing without Irrigation in Children with Congenital Nasolacrimal Duct Obstruction

Clinical Outcomes of Initial and Repeated Nasolacrimal Duct Office-Based Probing for Congenital Nasolacrimal Duct Obstruction

Reliability of Fluorescein Dye Disappearance Test in Assessment of Adults With Nasolacrimal Duct Obstruction

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