A Symptom Survey and Quality of Life Questionnaire for Nasolacrimal Duct Obstruction in Children

Holmes, Jonathan M.; Cole, Stephen R.; Chandler, Danielle L.; Repka, Michael X.

doi:10.1016/j.ophtha.2006.03.041

Cited by 20 publications

(17 citation statements)

References 21 publications

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“…An indeterminate result was minimally increased tear film or retained fluorescein in the tear. Also at this visit, the patient’s parent completed a written questionnaire on symptoms and health-related quality of life30 described later.…”

Section: Methodsmentioning

confidence: 99%

“…A quality of life questionnaire (available at http://public.pedig.jaeb.org) was completed at baseline and at the outcome visit 30. The questionnaire consists of 23 eye-specific symptom-related items that are averaged to create a symptom score for each affected eye, and 8 patient-level items that are averaged to create a measure of the impact of NLDO on the parent’s and child’s health-related quality of life (HRQOL).…”

Section: Methodsmentioning

confidence: 99%

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Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age

Repka¹,

Melia²,

Beck³

et al. 2008

Journal of American Association for Pediatric Ophthalmology and

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Purpose-To report the outcome of nasolacrimal duct intubation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children less than 4 years of age.Methods-182 eyes of 139 children receiving intubation with planned tube retention for 2 to 5 months were enrolled in a prospective, non-randomized observational multicenter study (19 sites). Children were aged 6 to <45 months at the time of surgery, with no prior nasolacrimal surgical procedure, and had at least one of the following clinical signs of NLDO: epiphora, mucous discharge and/or increased tear lake. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Results-Treatment success was defined as absence of epiphora, mucous discharge and increased tear lake at the outcome visit one month after tube removal. The surgical outcome was assessed in 150 eyes (82% of cohort). The proportion of eyes treated successfully was 91% (95% confidence interval = 86% to 95%). The outcome dye disappearance test was normal in 125 (86%) eyes, indeterminate in 13 (9%), and abnormal in 7 (5%) of the 145 eyes tested. Monocanalicular tubes were used in 74% of cases. The tube was removed prior to the planned minimum retention time of months in 61 eyes (41%). For 23 eyes the early removal was due to inadvertent displacement by the patient.Conclusion-In children 6 to <45 months of age, nasolacrimal duct intubation in a non-randomized and non-comparative trial was a successful primary treatment of NLDO in about 90% of cases not lost to follow up.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age

Repka¹,

Melia²,

Beck³

et al. 2008

Journal of American Association for Pediatric Ophthalmology and

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“…We reviewed existing pediatric vision questionnaires as identified in a review by Khadka et al (Khadka et al, 2013) and in a PubMed search of pediatric vision instruments, and found that the majority use a frequency scale, (Bokhary et al, 2013, Borsting et al, 2003, Cochrane et al, 2011, Hatt et al, 2010, Holmes et al, 2006, Sabri et al, 2006) whereas others use difficulty scales, (Gothwal et al, 2003, Khadka et al, 2010, Tadic et al, 2013) agreement scales, (Cole et al, 2001, Rah et al, 2010) or severity scales (Carlton, 2013a). Some authors utilize a combination of different types of scales in a single questionnaire (Angeles-Han et al, 2015, Felius et al, 2004, Hrisos et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Based on review of existing pediatric vision questionnaires (Angeles-Han et al, 2011, Borsting et al, 2003, Carlton, 2013a, Cochrane et al, 2011, Cole et al, 2001, Felius et al, 2004, Gothwal et al, 2012, Hatt et al, 2010, Holmes et al, 2006, Hrisos et al, 2004, Khadka et al, 2010, Sabri et al, 2006, Sacchetti et al, 2007, Tadic et al., 2013) and other data on response options, (Khadka et al, 2012a) we identified three commonly used Likert-type rating scales for evaluation: frequency (e.g., never, sometimes, often, always), severity (e.g., not at all, a little, some, a lot), and difficulty (e.g., not difficult, a little difficult, difficult, very difficult). These three scales were therefore selected for comparison in this present study.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Rating Scales in the Development of Patient-Reported Outcome Measures for Children with Eye Disorders

et al. 2017

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Background A rating scale is a critical component of patient-reported outcome instrument design, but the optimal rating scale format for pediatric use has not been investigated. We compared rating scale performance when administering potential questionnaire items to children with eye disorders and their parents. Methods Three commonly used rating scales were evaluated: frequency (never, sometimes, often, always), severity (not at all, a little, some, a lot), and difficulty (not difficult, a little difficult, difficult, very difficult). 10 patient-derived items were formatted for each rating scale, and rating scale testing order was randomized. Both child and parent were asked to comment on any problems with, or a preference for, a particular scale. Any confusion about options, or inability to answer was recorded. Results 21 children (aged 5–17 years) with strabismus, amblyopia, or refractive error were recruited, plus one of their parents. Of the first 10 children, 4 (40%) had problems using the difficulty scale, compared with 1 (10%) using frequency, and none using severity. The difficulty scale was modified, replacing the word “difficult” with “hard.” 11 additional children (plus parents) then completed all 3 questionnaires. No children had problems using any scale. 4 (36%) parents had problems using the difficulty (“hard”) scale and 1 (9%) with frequency. Regarding preference, 6 (55%) of 11 children and 5 (50%) of 10 parents preferred using the frequency scale. Conclusions Children and parents found the frequency scale and question format to be the most easily understood. Children and parents also expressed preference for the frequency scale, compared with the difficulty and severity scales. We recommend frequency rating scales for patient-reported outcome measures in pediatric populations.

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“…A quality of life questionnaire was completed at baseline and at the outcome visit17 (available at Pediatric Eye Disease Investigator Group. PEDIG Forms/Questionnaires, http://public.pedig.jaeb.org (Accessed June 9, 2008)).…”

Section: Methodsmentioning

confidence: 99%

Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age

2008

Journal of American Association for Pediatric Ophthalmology and

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Purpose-To report the outcome of nasolacrimal duct balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children less than 4 years of age.Methods-102 children (151 eyes) aged 12 to <48 months (mean 23 months) at the time of surgery, with no prior nasolacrimal surgical procedure, and with at least one of the following clinical signs of NLDO present, epiphora, mucous discharge and/or increased tear lake, were enrolled in a prospective, non-randomized observational multicenter study (20 sites). All children received balloon catheter dilation of the nasolacrimal system of the affected eye(s).Results-Treatment success was defined as no epiphora, mucous discharge, or increased tear lake present at the outcome visit one month after surgery. The proportion of eyes treated successfully was 82% (95% confidence interval = 74% to 88%). The dye disappearance test at outcome was normal in 105 (73%), indeterminate in 15 (10%), and abnormal in 23 (16%) of the 143 eyes tested. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-In children 12 to <48 months of age, balloon catheter dilation as a primary treatment of NLDO was successful in about 80% of cases. Because we did not perform a randomized trial with a comparison group, we are unable to determine how this procedure's success rate compares with that of simple probing or nasolacrimal intubation in this age group.

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A Symptom Survey and Quality of Life Questionnaire for Nasolacrimal Duct Obstruction in Children

Cited by 20 publications

References 21 publications

Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age

Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age

Comparison of Rating Scales in the Development of Patient-Reported Outcome Measures for Children with Eye Disorders

Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age

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