Outcome of monocanalicular intubation for complex congenital nasolacrimal duct obstruction: the role of age

Eshraghi, Bahram; Ghadimi, Hadi; Karami, Safoora; Nikdel, Mojgan

doi:10.22336/rjo.2022.11

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…Similarly, Khatib et al achieved a 71% success rate in the treatment of complex CNLDO using a specific type of MCI called a pushed monocanalicular stent (Masterka) ( 37 ). Furthermore, recent studies using tubes similar to those in our study for treating complex CNLDO reported success rates of 59.6% ( 38 ) and 73.5% ( 39 ) for pulled MCI tubes (Monoka Fayet). These success rates are consistent with our study’s results.…”

Section: Discussionsupporting

confidence: 74%

Surgical Outcomes in Congenital Nasolacrimal Duct Obstruction After Probing Failure: A One-Stage Approach

Oklar

2024

Beyoglu Eye J

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Objectives: This study evaluates the outcomes of a one-stage obstruction-based strategy for congenital nasolacrimal duct obstruction (CNLDO) in children who have prior probing failure. The objective is to assess the success rates of probing, balloon dacrioplasty (BDP), monocanalicular intubation (MCI), and external dacryocystorhinostomy (external DCR) performed in the same anesthesia session. Methods: A retrospective analysis included 55 eyes (45 patients, aged 12–120 months) with initial probing at another center. Procedures involved probing, probing plus BDP, MCI, and external DCR. For membranous obstruction (MO), the procedure concludes after probing; for incomplete complex obstruction (ICO) it includes BDP or MCI; and for complete complex obstruction (CCO), external DCR is performed. Success rates were assessed based on obstruction types and age groups, with improvement in symptoms and signs as the measure of success. Statistical analysis utilized Kruskal–Wallis, Fisher’s exact test, and logistic regression. Results: The overall success rate for all procedures was 72.7%. Success rates were 77.8% for MO, 66.7% for ICO, and 100% for CCO, introducing a promising perspective for the management of different CNLDO types. External DCR exhibited a 100% success rate, highlighting its effectiveness in cases of CCO. Success rates for interventions were 77.8% for probing, 61.5% for probing plus BDP, and 73.1% for MCI, emphasizing the feasibility and success of one-stage obstruction-based treatments. Age did not significantly correlate with success rates. Conclusion: The one-stage obstruction-based approach, which demonstrated favorable success rates in treating CNLDO and introduced a paradigm shift in the treatment strategy after probing failure, underscores the importance of tailoring interventions to the specific obstruction type. The study also highlights the feasibility and cost-effectiveness of performing multiple BDP, MCI, or external DCR procedures concurrently during the same anesthesia session, further emphasizing the crucial role of customizing treatments based on the nature of the obstruction.

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Section: Discussionsupporting

confidence: 74%

Surgical Outcomes in Congenital Nasolacrimal Duct Obstruction After Probing Failure: A One-Stage Approach

Oklar

2024

Beyoglu Eye J

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Assessing the success rate of treatment in simple and complex congenital nasolacrimal duct obstruction: a systematic review and meta-analysis

Eshraghi,

Babaei,

Moradi

et al. 2023

Graefes Arch Clin Exp Ophthalmol

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Management and outcomes of congenital nasolacrimal duct obstruction in trisomy 21 patients vs. non-trisomy 21 patients within a paediatric population: a 5-year follow-up

Fenech,

Raj,

Dodeja

et al. 2024

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Outcome of monocanalicular intubation for complex congenital nasolacrimal duct obstruction: the role of age

Abstract: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cited by 3 publications

References 38 publications

Surgical Outcomes in Congenital Nasolacrimal Duct Obstruction After Probing Failure: A One-Stage Approach

Surgical Outcomes in Congenital Nasolacrimal Duct Obstruction After Probing Failure: A One-Stage Approach

Assessing the success rate of treatment in simple and complex congenital nasolacrimal duct obstruction: a systematic review and meta-analysis

Management and outcomes of congenital nasolacrimal duct obstruction in trisomy 21 patients vs. non-trisomy 21 patients within a paediatric population: a 5-year follow-up

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