Medizinpsychologische Aspekte bei der Behandlung kindlicher Tränenabflussstörungen

Heichel, Jens; Bachner, F.; Hübner, Gerhard; Struck, H.-G.; Bredehorn-Mayr, T.

doi:10.1007/s00106-016-0167-1

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…On one hand, early primary probing can be performed between 6 and 12 months of age, usually under local anesthesia, and on the other hand, late primary probing can be performed after 12 months of age, usually under general anesthesia [8]. Heichel et al were able to show that in infantile lacrimal probing and syringing, the acceptance of local anesthesia is comparatively higher than that of general anesthesia [23]. In addition to probing and irrigation of the nasolacrimal duct, there are the options of mono-or bicanalicular tube intubation as a primary or secondary intervention.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study

Lahme,

Eter,

Zimmermann

et al. 2024

Klin Monbl Augenheilkd

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Congenital nasolacrimal duct obstruction (CNLDO) is the most common cause of epiphora in the first year of life. In addition to conservative therapy, there are several invasive methods available. The aim of this retrospective study was to conduct a long-term follow-up of bicanalicular lacrimal duct intubation as the primary intervention in a large cohort of patients with CNLDO. The electronic medical records of 487 patients with CNLDO who underwent bicanalicular tube intubation were reviewed. To determine the long-term outcomes, a telephone interview was conducted. A total of 328 eyes of 235 patients were included in the study. The median average follow-up period was 6.67 (5.58 – 8.67) years. At the time of the survey, 218 patients (92.8%) were symptom free. Mean patient satisfaction with surgical outcome was 10/10. To our knowledge, this study provides the longest follow-up of the largest patient cohort in the literature consisting of patients who underwent probing with bicanalicular lacrimal silicone tube intubation as a primary intervention for CNLDO. This study showed a high long-term postoperative success rate, with high postoperative satisfaction, few complications, and a low need for reintervention.

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Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study

Lahme,

Eter,

Zimmermann

et al. 2024

Klin Monbl Augenheilkd

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“…So würden Eltern, deren Kinder in Lokalanästhesie behandelt wurden, in 96 % das gleiche Vorgehen erneut wählen bzw. anderen Eltern empfehlen[23].Bei einem Patientenalter von mehr als 12 Monaten bietet sich die Spülbehandlung in Lokalanästhesie zumeist nicht mehr an. Die Kinder sind bisweilen zu kräftig und zeigen eine bereits gut entwickelte soziale Interaktion.…”

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Stufenkonzept zur Therapie der konnatalen Dakryostenose

Heichel

2017

Klin Monatsbl Augenheilkd

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Unresolved epiphora in childhood is one of the most frequent issues in paediatric ophthalmology. In this context, connatal nasolacrimal duct obstruction (CNLDO) is the most important differential diagnosis and the condition is caused by a persistent Hasner's membrane in most cases. As there is a risk of complications, treatment should be considered. Therapeutic options include conservative and invasive approaches. As CNLDO is associated with high spontaneous recovery rates during the first years of life, the indication for invasive interventions must be carefully deliberated in that period. Conservative treatment with digital compression of the lacrimal sac should be performed whenever CNLDO is suspected. Invasive treatment is recommended in case of complications such as acute dacryocystitis or recurrent ascending infections. Furthermore, CNLDO seems to be amblyogenic. In addition to probing and syringing, temporary intubation of the lacrimal duct is possible. Further transcanalicular approaches include dacryoendoscopy or balloon dacryoplasty. Dacryocystorhinostomy should be reserved for special indications, although it has a low rate of complications and treatment is successful in 90 % of cases. The available treatment approaches can be integrated into a graduated treatment concept, which is influenced by many factors and should therefore be individualised.

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Minimalinvasive Diagnostik und Therapie der konnatalen Tränenwegsstenose

Heichel

Struck

2017

Ophthalmologe

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Precise classification of CNLDO and knowledge about the possible treatment options are important. Lacrimal surgery in childhood is dominated by transcanalicular procedures. Advanced minimally invasive techniques, such as dacryoendoscopy or modern autostable intubation sets have to be emphasized. All therapeutic interventions can be summarized using a staged therapeutic concept, which should be used individually and patient-centered.

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Medizinpsychologische Aspekte bei der Behandlung kindlicher Tränenabflussstörungen

Cited by 6 publications

References 29 publications

Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study

Retrospective Analysis of Bicanalicular Lacrimal Silicone Tube Intubation in Patients with Congenital Nasolacrimal Duct Obstruction: A Long-term Follow-up Study

Stufenkonzept zur Therapie der konnatalen Dakryostenose

Minimalinvasive Diagnostik und Therapie der konnatalen Tränenwegsstenose

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