Management of Congenital Nasolacrimal Duct Obstruction—Latin American Study

Abstract

The members of Ojoplast adopt massage as the initial treatment for congenital nasolacrimal duct obstruction for patients <1 year of age. Probing is performed on patients >1 year of age, and early probing is used only for cases of dilated lacrimal sac. When massage and probing are not effective, intubation is performed, and if intubation is unsuccessful, dacryocystorhinostomy is performed, in which the external approach to dacryocystorhinostomy is used most often.

A Survey of Management of Congenital Nasolacrimal Duct Obstruction by Pediatric Primary Health Care Providers in Spain

“…A study (10) of oculoplastic surgeons reported that 31% of respondents recommended massage until 6 months of age, which is similar to our result of 36.6% of respondents. However, 14.63% of pediatricians in our survey instructed the parents to perform a sac massage until 12 months of age, similar to a survey of oculoplastic surgeons (12%) (10). Higher rates were reported in surveys of pediatric ophthalmologists (82%) (13) and general ophthalmologists (84%) (3).…”

“…Although most cases of CNLDO resolve spontaneously within the first year of life, some may persist and cause significant distress to the child, parents, and pediatrician (2, 10, 11). Thus, a proper therapeutic strategy for CNLDO is essential for primary care providers.…”

“…The medical management of CNLDO remains controversial, especially the type of massage, time to stop massage, and the best moment to refer the patient to an ophthalmologist for probing or further treatment (1, 10).…”

Bacterial Spectrum and Antimicrobial Susceptibility Patterns in Acquired and Connatal Lacrimal Duct Stenosis

“…3,4 However, perforation may still occur until the 12th month of life. 5,6 aLDO is due to a primary idiopathic or secondary inflammatory stenosis following trauma, neoplasm, or mechanical obstruction, and has a prevalence of about 10% in adults over 50 years of age. 7 In both cLDO and aLDO, the lacrimal duct system becomes a stagnant pool that can easily become infected by bacteria.…”

Management in congenital nasolacrimal duct obstruction – guidelines of the Polish Ophthalmological Society

“…What is the course of action taken by ophthalmologists in the world in case of congenital nasolacrimal duct obstruction? Ophthalmologists in Canada, Great Britain and Latin American countries recommend lacrimal duct probing for children with CNLDO only after they are 1 year old [20,21]. However, there is a lack of consensus among pediatric ophthalmologists in the US.…”