Systematic, Combined Treatment Approach to Nasolacrimal Duct Obstruction in Different Age Groups

Çiftçi, Faruk; Akman, Ahmet; Sönmez, Murat; Ünal, Mehmet; Güngör, Atila; Yaylalı, Volkan

doi:10.1177/112067210001000409

Cited by 37 publications

(10 citation statements)

References 36 publications

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“…Several other studies have also reported a decrease in cure rates with delayed probing (Mannor et al. 1999; Çiftçi et al. 2000; Kashkouli et al.…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 83%

“…High‐pressure irrigation is sometimes recommended as a useful therapy for CNDO and has been shown to have success rates of 33–100% (Koke 1950; Çiftçi et al. 2000; Kim et al.…”

Section: Treatment Of Cndo During the First Year Of Lifementioning

confidence: 99%

“…Another problem is that probing is thought to be less successful with advancing age (Katowitz & Welsh 1987; Paul & Shepherd 1994; Mannor et al. 1999; Çiftçi et al. 2000; Honavar et al.…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

“…1986; Yap & Yip 1998; Mannor et al. 1999; Çiftçi et al. 2000; Maheshwari 2005, 2008; Pediatric Eye Disease Investigator Group 2008a) have since confirmed that the timing of probing can be delayed and the procedure can still achieve a safe and satisfactory outcome.…”

Section: Introductionmentioning

confidence: 99%

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Management of congenital nasolacrimal duct obstruction

Takahashi

Kakizaki

Chan

et al. 2010

Acta Ophthalmologica

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ABSTRACT.Our review aims to provide an update of management protocols for congenital nasolacrimal duct obstruction (CNDO). Although early probing performed before the age of 1 year was traditionally recommended, many reports have since confirmed high frequencies of spontaneous resolution during the first year of life. Accordingly, a 'wait-and-see' approach, combined with conservative therapies, is judged to be the best option in infants aged < 1 year. By contrast, persistent obstruction beyond 1 year of age warrants probing as a firstline interventional therapy. However, the optimal timing for probing remains controversial. Although there remains a high possibility of spontaneous resolution after the first year of age, this must be balanced against the decrease in success rates for probing that accompanies advancing age. If conservative management fails, persistent CNDO beyond 1 year of age should be managed either by further observation or by primary probing according to the severity of symptoms. In patients in whom probing fails, advanced treatment such as balloon catheter dilation, silicone tube intubation or dacryocystorhinostomy may be considered.

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“…Several other studies have also reported a decrease in cure rates with delayed probing (Mannor et al. 1999; Çiftçi et al. 2000; Kashkouli et al.…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 83%

“…High‐pressure irrigation is sometimes recommended as a useful therapy for CNDO and has been shown to have success rates of 33–100% (Koke 1950; Çiftçi et al. 2000; Kim et al.…”

Section: Treatment Of Cndo During the First Year Of Lifementioning

confidence: 99%

“…Another problem is that probing is thought to be less successful with advancing age (Katowitz & Welsh 1987; Paul & Shepherd 1994; Mannor et al. 1999; Çiftçi et al. 2000; Honavar et al.…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of congenital nasolacrimal duct obstruction

Takahashi

Kakizaki

Chan

et al. 2010

Acta Ophthalmologica

View full text Add to dashboard Cite

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“…[1] Several other studies have reported a decrease in cure rates with delayed probing. [459101112131415] Sturrock et al . [11] reported that 86% of those probed under 1 year of age were corrected, compared to 72% of patients between 1 year and 2 years of age and 42% of patients probed who were 2 years old.…”

Section: Discussionmentioning

confidence: 99%

Probing for congenital nasolacrimal duct obstruction in older children

Eshragi

Fard

Masomian

et al. 2013

Middle East Afr J Ophthalmol

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Purpose:The purpose of this study was to evaluate the role of probing in congenital nasolacrimal duct obstruction in children age 2 years and older and to establish factors predictive of the outcome.Materials and Methods:A prospective study was conducted on consecutive patients older than 24 months with congenital nasolacrimal duct obstruction. All patients were treated with a simple nasolacrimal duct probing as primary treatment. Outcome measures included an ophthalmologic examination plus a parental history of residual symptoms at one and 6 months after surgery.Results:A total of 82 children with a mean age of 34.5 months (range, 24 months to 60 months) underwent nasolacrimal duct probing. The complete response rate was 54%. Partial response and failure were observed in 25% and 20.8% of the eyes, respectively. Bilateral obstruction was associated with failure of probing (P = 0.007, Odds Ratio: 5.76). However, age older than 36 months was not associated with the failure rate.Conclusion:Primary probing maintains a high success rate without any age related decline in congenital nasolacrimal duct obstruction.

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Balloon Catheter Dilation and Nasolacrimal Duct Intubation for Treatment of Nasolacrimal Duct Obstruction After Failed Probing

2009

Arch Ophthalmol

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Systematic, Combined Treatment Approach to Nasolacrimal Duct Obstruction in Different Age Groups

Cited by 37 publications

References 36 publications

Management of congenital nasolacrimal duct obstruction

Management of congenital nasolacrimal duct obstruction

Probing for congenital nasolacrimal duct obstruction in older children

Balloon Catheter Dilation and Nasolacrimal Duct Intubation for Treatment of Nasolacrimal Duct Obstruction After Failed Probing

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