Trends in congenital nasolacrimal duct obstruction surgical procedures in the United States from 2003 to 2016

Muminovic, Irma; Ryu, Won Yeol; Lambert, Scott R.

doi:10.1016/j.jaapos.2021.06.002

Cited by 3 publications

(7 citation statements)

References 8 publications

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“…Sagiv et al reported that the overall probing procedure success rate was 79% (83 out of 105 patients) in their study 5 . In other studies in the literature, probing success rates vary between 69% and 92% when used as primary treatment [11][12][13][14] . In our study, the success rate was found as 80.5% in the total evaluation of all patients including all age groups, in line with previous reports.…”

Section: Discussionmentioning

confidence: 98%

“…Congenital nasolacrimal duct obstruction is the most common cause of epiphora in the pediatric population 10 . Congenital nasolacrimal duct obstructions are often caused by developmental defects of the structures of the nasolacrimal duct 11,12 . The most common type is membranous occlusion at the level of Hasner's valve [11][12][13] .…”

Section: Discussionmentioning

confidence: 99%

“…Congenital nasolacrimal duct obstructions are often caused by developmental defects of the structures of the nasolacrimal duct 11,12 . The most common type is membranous occlusion at the level of Hasner's valve [11][12][13] . The management of congenital nasolacrimal duct obstruction remains controversial because spontaneous resolution reportedly occurs in up to 90% of patients by the age of 12 months [13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

“…Probing is the preferred primary intervention because of its safety and simplicity, as well as its high success rates. In patients with CNLDO, probing surgery is a minimally invasive procedure with very good results when performed with the right technique and timing [11][12][13] . Sagiv et al reported that the overall probing procedure success rate was 79% (83 out of 105 patients) in their study 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Probing is a standard therapeutic method for CNLDO; however, the issue of optimal timing remains controversia [11][12][13][14] . In the other studies, the success rate of probing earlier than 12 months of age ranged from 78% to 97%.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Ulas

Özcan

ADEMOĞLU

2023

Cukurova Medical Journal

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Purpose: To evaluate the effectiveness of probing surgery in patients with congenital nasolacrimal duct obstruction (CNLDO) according to application time and age groups. Materials and Methods: In this retrospective study, patients with CNLDO who were followed up at Cukurova University Faculty of Medicine between 2012 and 2022 were evaluated. One hundred thirteen eyes of 90 patients with CNLDO were included in the study. The fluorescein dye disappearance test was used to evaluate the diagnosis and treatment success. The demographic characteristics of the patients and the success of the surgeries were recorded. Results: Considering the first probing surgical time, our success rates according to age groups were as follows: 0-12 months (n=10) 100%, 12-18 months (n=29) 86.2%, 18-24 months (n=24) 87.5%, 24-36 months (n=24) 79.2%, 36-48 months (n=14) 57.1%, and 66.7% in patients aged 48 months and older (n=12). When our entire patient group was evaluated regarding success before and after age 2 years, the rate was 88.9% in patients younger than 24 months (n=63), and 70% in patients aged 24 months and older (n=50). Conclusion: In our study, the most successful age ranges for probing surgery were found as 0-12 months, 12-18 months, and 18-24 months. Probing surgery should be performed for patients with congenital nasolacrimal duct obstruction before the age of 2 years because the success rates decreased in patients older than 2 years in our study.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Ulas

Özcan

ADEMOĞLU

2023

Cukurova Medical Journal

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Factors Associated With Nasolacrimal Duct Probing Failure Among Children in the Intelligent Research in Sight Registry

et al. 2023

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ImportanceUnderstanding the factors associated with nasolacrimal duct probing failure in young children may help inform practice patterns.ObjectiveTo identify factors associated with repeated nasolacrimal duct probing in young children.Design, Setting, and ParticipantsThis retrospective cohort study analyzed data from the Intelligent Research in Sight (IRIS) Registry for all children who underwent nasolacrimal duct probing before 4 years of age between January 1, 2013, and December 31, 2020.Main Outcomes and MeasuresThe Kaplan-Meier estimator was used to assess the cumulative incidence of a repeated procedure within 2 years of the initial procedure. Hazard ratios (HRs) derived from multivariable Cox proportional hazards regression models were used to evaluate the association between repeated probing and patient age, sex, race and ethnicity, geographic region, operative side, laterality of obstruction, type of initial procedure, and surgeon volume.ResultsThis study included 19 357 children (9823 [50.7%] male; mean [SD] age, 1.40 [0.74] years) undergoing nasolacrimal duct probing. The cumulative incidence of repeated nasolacrimal duct probing was 7.2% (95% CI, 6.8%-7.5%) within 2 years of the initial procedure. Among 1333 repeated procedures, the second procedure involved silicone intubation in 669 (50.2%) and balloon catheter dilation in 256 (19.2%). Among 12 008 children aged 1 year or younger, office-based simple probing was associated with a slightly higher probability of reoperation compared with facility-based simple probing (9.5% [95% CI, 8.2%-10.8%] vs 7.1% [95% CI, 6.5%-7.7%]; P &lt; .001). In the multivariable model, a greater risk of repeated probing was associated with bilateral obstruction (HR, 1.48; 95% CI, 1.32-1.65; P &lt; .001) and office-based simple probing (HR, 1.33; 95% CI, 1.13-1.55; P &lt; .001), and a lower risk was associated with primary balloon catheter dilation (HR, 0.69; 95% CI, 0.56-0.85; P &lt; .001) and procedures performed by high-volume surgeons (HR, 0.84; 95% CI, 0.73-0.97; P = .02). Age, sex, race and ethnicity, geographic region, and operative side were not associated with reoperation risk in the multivariable model.Conclusions and RelevanceIn this cohort study, most children in the IRIS Registry undergoing nasolacrimal duct probing before 4 years of age did not require any additional intervention. Factors associated with lower risk of reoperation include surgeon experience, probing performed under anesthesia, and primary balloon catheter dilation.

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Longitudinal trends in volume of oculoplastic procedures without ACGME minimum requirements among United States ophthalmology residents: an ACGME case log analysis

Kim

Lee

Rana

et al. 2022

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Trends in congenital nasolacrimal duct obstruction surgical procedures in the United States from 2003 to 2016

Cited by 3 publications

References 8 publications

Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Factors Associated With Nasolacrimal Duct Probing Failure Among Children in the Intelligent Research in Sight Registry

Longitudinal trends in volume of oculoplastic procedures without ACGME minimum requirements among United States ophthalmology residents: an ACGME case log analysis

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