Success rates of probing for congenital nasolacrimal duct obstruction at various ages

Świerczyńska, Marta; Tobiczyk, Ewelina; Rodak, Piotr; Barchanowska, Dorota; Filipek, Erita

doi:10.1186/s12886-020-01658-9

Cited by 20 publications

(24 citation statements)

References 44 publications

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“…Belirtiler genellikle yaşamın ilk birkaç haftasında ortaya çıkar (1,10). Yaşamın ilk aylarında genellikle kendiliğinden açılan bu tıkanıklık, gerektiğinde hidrostatik basıncı artıracak şekilde yapılan masaj ile, olguların %96 kadarında, yaşamın ilk yılında açılabilmektedir (11)(12)(13)(14).…”

Section: Bulgularunclassified

Konjenital Nazolakrimal Kanal Tıkanıklığının Doğum Şekliyle İlişkisi

ŞEKER¹,

TİMUR²

2022

Turkish Journal of Pediatric Disease

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Konjenital nazolakrimal kanal tıkanıklığı (KNLKT) görülme insidansı ile doğum şekli arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Çalışmaya 2014-2017 yılları arasında epifora şikayetiyle başvuran KNLKT tanısı alan hastalar dahil edildi. Hastaların demografik ve klinik özellikleri belirlendi ve hastalar doğum şekline göre sezaryen doğum (SD) veya normal vajinal yolla doğum (NVD) olarak iki gruba ayrıldı. KNLKT görülme sıklığı, cinsiyet ve lateralite özellikleri gruplar arasında karşılaştırıldı. Bulgular: Çalışmaya başvuru yaşı ortalama 5.5±4.6 ay olan 62 hastanın 75 gözü dahil edildi. Çalışmaya dahil edilen hastaların doğum şekli %59.7'sinde NVD iken %40.3'ünde sezaryendi doğumdu. Hastaneye başvuru yaşı ve lateralite açısından gruplar arasında istatistiksel olarak anlamlı fark bulunmamaktaydı (p=0.501 ve p=0.624). Doğum şeklinin NVD ya da SD olması ile KNLKT görülme sıklığı arasında farklılık yoktu (p=0.128). Sonuç: Çalışmamızda doğum şekli ile KNLKT görülme sıklığı arasında farklılık tespit edilmemiştir ancak sezaryen doğumun KNLKT için artmış bir risk faktörü olarak etyopatogenezdeki rolü literatürde tartışmalı olarak devam etmektedir.

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Section: Bulgularunclassified

Konjenital Nazolakrimal Kanal Tıkanıklığının Doğum Şekliyle İlişkisi

ŞEKER¹,

TİMUR²

2022

Turkish Journal of Pediatric Disease

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“…Some authors have suggested that delayed treatment could increase the rate of intervention failure, 13 perhaps because of prolonged inflammation and fibrosis in the lacrimal drainage system. 3 , 5 , 6 , 14 However, some reports have found no age-related reductions in success rate. 12 , 15 , 16 When conservative treatment does not lead to lacrimal duct opening, invasive procedures for CNLDO (eg, probing, balloon dacryocystoplasty, and silicone intubation) are recommended.…”

Section: Introductionmentioning

confidence: 99%

“…Congenital nasolacrimal duct obstruction (CNLDO) is a common cause of epiphora in infants; its prevalence rate of 5% to 20%, 1 , 2 although only 2–6% of affected individuals will need intervention. 3 The pathogenesis of CNLDO most commonly involves an imperforate membrane at the distal end of the nasolacrimal duct (the valve of Hasner). However, in some difficult cases, the pathogenesis may involve bony abnormalities and narrowing of the lacrimal drainage system.…”

Section: Introductionmentioning

confidence: 99%

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Age-Specific Outcomes of Conservative Approach and Probing for Congenital Nasolacrimal Duct Obstruction

Lekskul¹,

Preechaharn²,

Jongkhajornpong³

et al. 2022

OPTH

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Purpose To evaluate the resolution rate of lacrimal sac massage and the efficacy of primary probing among different age groups of patients with CNLDO in Thai population. Patients and Methods Retrospectively reviewed the medical records of patients younger than 10 years of age who had been diagnosed with CNLDO, from January 1st, 2011, to October 31st, 2021. Patients were divided into two groups. The conservative treatment group comprised patients who had received Crigler’s maneuver and topical antibiotic when indicated; the intervention group comprised patients who had received probing. Results There were 469 patients in the conservative treatment group and 108 patients in the probing group. In the conservative treatment group; the patients were categorized into five groups according to age: 0 to <6 months, 6 to <12 months, 12 to <18 months, 18 to <24 months, and ≥24 months. The resolution rates for these age groups were 99.25%, 96.23%, 64.71%, 50%, and 62.07%, respectively. The rate of spontaneous resolution was significantly associated with patient age (p <0.01). In the intervention group; the patients were categorized into four age groups according to age: 0 to <12 months, 12 to <24 months, 24 to <36 months, and ≥36 months. The success rates of primary probing for these age groups were 92.86%, 89.29%, 85.71%, and 94.12%, respectively. The success rate of primary probing was not significantly associated with patient age (p >0.05). Conclusion The Crigler’s maneuver is a safe and highly effective procedure for the management of CNLDO in patients of multiple ages, particularly patients less than 12 months of age. According to the high spontaneous resolution rate and the low rate of complications, the clinicians may delay surgical intervention when desired.

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“…Congenital nasolacrimal duct obstruction (CNLDO) is a common disease in newborns and the most common cause of neonatal epiphora (excessive tearing) [ 1 ], [ 2 ]. CNLDO has been reported to occur in 1.75–6% of newborns [ 3 ], [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Culture of Tear Duct Infections Secondary to Congenital Nasolacrimal Duct Obstructions

Yang

Shen

Wang

et al. 2022

Journal of Ophthalmology

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Purpose. To investigate the microbial profile of congenital nasolacrimal duct obstruction (CNLDO) in Chinese children. Methods. We retrospectively reviewed the medical records of 330 consecutive children (330 eyes) who were diagnosed with tear duct infections secondary to CNLDO and were admitted to the Children’s Hospital of Fudan University from January 2013 to January 2020. Bacterial cultures were grown from tear duct samples of each patient. Samples from conjunctival secretions were cultivated on blood or chocolate agar. Clinically significant bacterial growth was reported. Results. Of the 330 eyes considered, 62.7% (207/330) were associated with positive bacterial cultures. A total of 223 isolates were detected from 207 culture-positive eyes. Among the 223 isolates, 52.0% (116/223) were Gram-positive bacteria and 47.1% (105/223) were Gram-negative bacteria. The most prevalent Gram-positive bacteria were Streptococcus viridans (67 isolates, 30%), followed by Staphylococcus aureus (36 isolates, 16.1%) and Streptococcus pneumoniae (5 isolates, 2.2%). The most prevalent Gram-negative bacteria were Neisseria (nonpathogenic) (25 isolates, 11.2%), followed by Escherichia coli (16 isolates, 7.2%) and Haemophilus influenzae (16 eyes, 7.2%). Antibiotic susceptibility test results suggested that both Gram-positive and Gram-negative bacteria were highly sensitive to most of the tested antibiotics. Conclusions. S. viridans and S. aureus are the most prevalent bacteria in tear duct infections secondary to CNLDO. Broad-spectrum antibacterial eye drops are suggested as empirical antibiotic treatments.

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Success rates of probing for congenital nasolacrimal duct obstruction at various ages

Cited by 20 publications

References 44 publications

Konjenital Nazolakrimal Kanal Tıkanıklığının Doğum Şekliyle İlişkisi

Konjenital Nazolakrimal Kanal Tıkanıklığının Doğum Şekliyle İlişkisi

Age-Specific Outcomes of Conservative Approach and Probing for Congenital Nasolacrimal Duct Obstruction

Bacterial Culture of Tear Duct Infections Secondary to Congenital Nasolacrimal Duct Obstructions

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