Success Rate of Late Primary Probing in Congenital Nasolacrimal Duct Obstruction

Abrishami, Yalda; Hosseini, Seyedeh Simindokht; Tabatabaee, Syed Ziaeddin; Rajabi, Mohammad Taher; Hurwitz, Jeffrey J.

doi:10.3928/01913913-20140909-02

Cited by 19 publications

(10 citation statements)

References 8 publications

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“…In particular, several studies reported optimal results in children beyond the first year of age, with a resolution rate ranging from 76.8% to 89% in children aged 13 to 18 months, 54% to 88.6% in children aged 18 to 24 months and 33% to 71.7% in children aged 24 to 36 months [51,52,53]. In line with this evidence, Rajabi et al reported in a non-randomized prospective, interventional study including 343 children with CNLDO, an overall primary late probing success rate of 75.8%, more specifically 85% in children aged 2 to 3 years old, 63% in children aged 3 to 4 years old, and 50% in children aged 4 to 5 years old [54]. Moreover, in a retrospective study including 246 eyes of 177 children with CLNDO aged 0 to 9.8 years, Napier et al reported a success rate of 76% of primary priming as a first-line intervention, regardless of gender, age and complexity of obstruction [55].…”

Section: Primary Probingmentioning

confidence: 79%

Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review

et al. 2018

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Congenital nasolacrimal duct obstruction (CNLDO) is a common condition causing excessive tearing or mucoid discharge from the eyes, due to blockage of the nasolacrimal duct system. Nasolacrimal duct obstruction affects as many as 20% children aged <1 year worldwide and is often resolved without surgery. Available treatment options are conservative therapy, including observation, lacrimal sac massage and antibiotics, and invasive therapy. Observation, combined with conservative options, seems to be the best option in infants aged <1 year. Meanwhile, in children aged >1 year, nasolacrimal probing successfully addresses most obstructions. However, the most favorable timing for probing remains controversial. To alleviate persistent epiphora and mucous drainage that is refractory to probing, repeat probing, silicone tube intubation, balloon catheter dilation or dacryocystorhinostomy can be considered as available treatment options. Our review aims to provide an update to CNDO management protocols.

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Section: Primary Probingmentioning

confidence: 79%

Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review

et al. 2018

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“…Rahim et al in their study evaluating probing success under 1 year of age and above 1 year old, they found success rates of 85% and 72.5%, respectively (7). Similarly, since the success decreases with age, it has been argued that probing is most appropriate for children under 3 years of age (8,9). Increased age may lead to complex obstruction through augmenting the fibrous component of nasolacrimal duct (9-11).…”

Section: Discussionmentioning

confidence: 99%

Konjenital Nazolakrimal Kanal Tıkanıklıklarında Yeniden-problama Nedenlerinin Araştırılması

Urfalioglu

Özdemir

Güler

et al. 2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Objective: It was aimed to show the factors leading to failure of first probing, necessitating second probing application. Material and Methods:In this retrospective case series, patients diagnosed with congenital nasolacrimal duct obstruction (CNLDO) between January 2010 and December 2019 and treated with a nasolacrimal duct (NLD) probe were included. The files of patients diagnosed with CNLDO and treated with NLD probing between these years at Kahramanmaras Sutcu Imam University Medical Faculty Hospital of were reviewed. Patients characteristics including sex, age, consultation notes, operation records, re-probing number and existence of systemic disease were recorded.Results: A total of 110 patients were recruited into the study finally. The mean age of patients was 17.55±5.40 (9-34) months and 46 female (41.8%), 64 male (58.2%). While the ninety three patients (84.5%) showing improvement of symptoms after the first probing considered successful, 17 patients (15.5%) having smilar symptoms regarded failed probing. Grouping patients with age less than ≤18 months or more had similar success rates with regard to probing success (p=0.250). No difference in success rate was found for gender (p=0.953) and laterality (p=0.116). Local diseases (nasal cavity problems, canalicular narrowing, anatomical variation etc.) were detected in 14 patients, who have been planned for secondary probing. Conclusion:Our study is in congruity with other studies claiming no effect of sex, age or laterality on probing success. If first probing fails, a thorough management plan including also exploration and handling of reasons underlying the first failure should be implemented before second probing.

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“…It has been showed that success rate was 85% in children aged 2 to 3 years, 75% in those between 3 and 4 years, and 63% in those 4 to 5 years old. [ 28 ] This phenomenon may be caused by the following reasons. Membranous Hasner valve is more common in younger children, in contrast, membrane will become thicker and more complex as age increases.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Sun

Ding²,

et al. 2020

Chinese Medical Journal

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Background Hasner valve incision has been recently introduced as a new treatment for ophthalmic patients with epiphora symptoms. The aim of this study was to examine whether surgical outcomes of Hasner valve incision for inferior nasolacrimal duct obstruction were different between pediatric and adult patients. Methods A total of 53 eyes of 52 patients who underwent Hasner valve incision in the Beijing Tongren Hospital from October 2016 to November 2019 were retrospectively observed. Patients were divided into two groups, including pediatric group (23 eyes of 22 patients, <18 years old) and adult group (30 eyes of 30 patients, ≥18 years old). Success rate of surgery was determined by both subjective measure (complete resolution of epiphora) and objective measure (lacrimal passage irrigation and tear meniscus height). Fisher exact test was conducted. Results By conducting Fisher exact test and comparing complete resolution of epiphora ( P = 0.627), lacrimal passage irrigation ( P = 0.663), measurement of Tear Meniscus Height ( P = 0.561), and appearance of complication ( P = 0.339), there was no statistically significant difference of surgical outcomes between pediatric and adult patients ( P > 0.05). Conclusion Hasner valve incision was effective for both adult and children with inferior nasolacrimal duct obstruction, with no difference in surgical outcomes between the two groups.

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Success Rate of Late Primary Probing in Congenital Nasolacrimal Duct Obstruction

Cited by 19 publications

References 8 publications

Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review

Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review

Konjenital Nazolakrimal Kanal Tıkanıklıklarında Yeniden-problama Nedenlerinin Araştırılması

Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

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