Purchase this article with an account.
Alice Degoumois, Frédéric Mouriaux, Chantal Abadie-Koebele, Julie Le Garrec; Efficacy Of Probing For Congenital Nasolacrimal Duct Obstruction Under 12 Months. About 443 Cases. Invest. Ophthalmol. Vis. Sci. 2012;53(14):6782.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To study outcomes of initial probing for congenital nasolacrimal duct obstruction (CNLDO) in children younger than 12 months.
We included all consecutive patients younger than 12 months with CNLDO between January 2006 and December 2009 in a retrospective monocentric cohort. The diagnosis of CNLDO was based on chronical tearing or discharge since or shortly after birth. The probing was performed just after clinical examination, under topical anesthesia, by a senior oculoplastic ophthalmologist in all cases. A second probing was performed 3 to 6 weeks later, in case of failure of the first one.
443 eyes of 335 consecutive patients were included. 226 patients were female (51%). The mean age of children was 5.2 months (median 6.1 months). The overall success rate was 93.5%. The first probing was successful in 77,7%. After failure of the first probing (99 eyes), 18 of them underwent monocanalicular intubation under general anesthesia, 81 others underwent a second probing. The success rate of second probing was 86.4%. The factors associated to probing failure were analysed. One of them was a medical past history of allergy or ear nose throat troubles, that makes success rate significantly lower.We didn’t notice any complication of probing in this cohort. discussion : We compared the success rate of probing to natural resolution rates at each month of age without treatment, and with medical treatment in literature. We discuss the global features of probing : time, logistic, cost.
Probing for CNLDO is an interesting treatment option, because of his low cost and simple logistic. In facts, probing is efficient and uneventful in this cohort, so it could be an interesting way to accelerate recovery and to avoid annoyance of chronic tearing, discharge, or prolonged medical treatment.
This PDF is available to Subscribers Only