Nasolacrimal duct obstruction (NLDO) is a common congenital abnormality. Some obstructions resolve spontaneously and some require probing surgery with irrigation. However, the necessity of irrigation after probing is still under doubt. The study included 131 eyes (114 children) with persistent NLDO, between 9 to 48 months of age with no previous nasolacrimal surgical procedures, who had attended the ophthalmology clinic at Shafa Hospital, Kerman, Iran for NLDO treatment. Probing was done through the superior or inferior canalicular system into the nasolacrimal canal, not succeeded by irrigation. The duration of anesthesia was shorter than usual. Subjects were visited at 1 and 6 months after surgery. Before the surgery, all of the eyes had epiphora, 56% had mucopurolent discharge and 18% had a history of dacrocystitis, in which after the surgery the prevalence dropped to 6%, 5% and 4%. The average procedure time under general anesthesia was 5.9 minutes and the average recovery time wan 7.2 minutes, which was shorter than surgery with irrigation. In this study, we experienced similar results of probing without irrigation in comparison to probing with irrigation, also the surgery and anesthesia duration was shorter and the risk of aspiration was little. More studies from other centers and larger populations especially RCTs should be performed to confirm our results.
| Published in | Science Journal of Clinical Medicine (Volume 8, Issue 2) |
| DOI | 10.11648/j.sjcm.20190802.12 |
| Page(s) | 13-16 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Nasolacrimal Duct Obstruction, Treatment, Probing, Irrigation
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APA Style
Esmat Karbasi, Narges Khanjani. (2019). Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation. Science Journal of Clinical Medicine, 8(2), 13-16. https://doi.org/10.11648/j.sjcm.20190802.12
ACS Style
Esmat Karbasi; Narges Khanjani. Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation. Sci. J. Clin. Med. 2019, 8(2), 13-16. doi: 10.11648/j.sjcm.20190802.12
AMA Style
Esmat Karbasi, Narges Khanjani. Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation. Sci J Clin Med. 2019;8(2):13-16. doi: 10.11648/j.sjcm.20190802.12
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Download@article{10.11648/j.sjcm.20190802.12,
author = {Esmat Karbasi and Narges Khanjani},
title = {Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation},
journal = {Science Journal of Clinical Medicine},
volume = {8},
number = {2},
pages = {13-16},
doi = {10.11648/j.sjcm.20190802.12},
url = {https://doi.org/10.11648/j.sjcm.20190802.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20190802.12},
abstract = {Nasolacrimal duct obstruction (NLDO) is a common congenital abnormality. Some obstructions resolve spontaneously and some require probing surgery with irrigation. However, the necessity of irrigation after probing is still under doubt. The study included 131 eyes (114 children) with persistent NLDO, between 9 to 48 months of age with no previous nasolacrimal surgical procedures, who had attended the ophthalmology clinic at Shafa Hospital, Kerman, Iran for NLDO treatment. Probing was done through the superior or inferior canalicular system into the nasolacrimal canal, not succeeded by irrigation. The duration of anesthesia was shorter than usual. Subjects were visited at 1 and 6 months after surgery. Before the surgery, all of the eyes had epiphora, 56% had mucopurolent discharge and 18% had a history of dacrocystitis, in which after the surgery the prevalence dropped to 6%, 5% and 4%. The average procedure time under general anesthesia was 5.9 minutes and the average recovery time wan 7.2 minutes, which was shorter than surgery with irrigation. In this study, we experienced similar results of probing without irrigation in comparison to probing with irrigation, also the surgery and anesthesia duration was shorter and the risk of aspiration was little. More studies from other centers and larger populations especially RCTs should be performed to confirm our results.},
year = {2019}
}
TY - JOUR T1 - Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation AU - Esmat Karbasi AU - Narges Khanjani Y1 - 2019/06/19 PY - 2019 N1 - https://doi.org/10.11648/j.sjcm.20190802.12 DO - 10.11648/j.sjcm.20190802.12 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 13 EP - 16 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20190802.12 AB - Nasolacrimal duct obstruction (NLDO) is a common congenital abnormality. Some obstructions resolve spontaneously and some require probing surgery with irrigation. However, the necessity of irrigation after probing is still under doubt. The study included 131 eyes (114 children) with persistent NLDO, between 9 to 48 months of age with no previous nasolacrimal surgical procedures, who had attended the ophthalmology clinic at Shafa Hospital, Kerman, Iran for NLDO treatment. Probing was done through the superior or inferior canalicular system into the nasolacrimal canal, not succeeded by irrigation. The duration of anesthesia was shorter than usual. Subjects were visited at 1 and 6 months after surgery. Before the surgery, all of the eyes had epiphora, 56% had mucopurolent discharge and 18% had a history of dacrocystitis, in which after the surgery the prevalence dropped to 6%, 5% and 4%. The average procedure time under general anesthesia was 5.9 minutes and the average recovery time wan 7.2 minutes, which was shorter than surgery with irrigation. In this study, we experienced similar results of probing without irrigation in comparison to probing with irrigation, also the surgery and anesthesia duration was shorter and the risk of aspiration was little. More studies from other centers and larger populations especially RCTs should be performed to confirm our results. VL - 8 IS - 2 ER -
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