| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 20
| Issue : 4 | Page : 349-352 |
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Probing for congenital nasolacrimal duct obstruction in older children
Bahram Eshragi, Masoud Aghsaei Fard, Babak Masomian, Mohammadreza Akbari
Department of Ophthalmology, Farabi Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran
Correspondence Address:
Masoud Aghsaei Fard
Farabi Eye Research Center, Qazvin Sq., Tehran
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-9233.120018
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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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