Purchase this article with an account.
S.J. Fudemberg, D.H. Lee, B.V. Davitt, O.A. Cruz; Relationship Between Nasolacrimal Duct Obstruction and Otitis Media . Invest. Ophthalmol. Vis. Sci. 2003;44(13):3720.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: Initial probing and irrigation (P&I) has been reported as a successful measure for treating nasolacrimal duct obstruction (NLDO).1 However, the presence of otitis media (OM) has been reported to significantly decrease this success.2 The purpose of this study was to examine the effect of OM on the success of P&I for NLDO. Methods: All patients who underwent P&I at the Saint Louis University Eye Institute between 2001-02 were prospectively studied. A preoperative questionnaire assessed laterality of NLDO, and history and laterality of OM. Intraoperatively, site of NLDO and recovery of fluorescein were recorded. Success of the probing was determined by follow-up interview 6 months post-operatively. Results: 175 NLDO of 126 patients were enrolled and 106 NLDO of 74 patients have completed 6 months follow-up. All patients will have completed 6 months of follow-up by March 2003. Overall success of initial P&I was 89.2%. Patients with OM did not have a statistically significant decrease in success of P&I (p=1.00, RR 0.974, CI 0.831-1.138 by Yates-corrected chi-square). The failure rate of 4.6% for initial P&I was equal regardless of fluorescein recovery. NLDO occurred most frequently at the valve of Hasner (45.8%). Conclusions: We did not find a statistically significant effect of OM on success of initial P&I for NLDO. Successful fluorescein recovery may not be correlated with success of P&I. 54.2% of the obstructions in our patients were noted superior to the valve of Hasner. OM was not a risk factor for initial P&I failure. Omission of fluorescein irrigation may not affect outcome and could save time and cost. References: 1. Robb RM. Probing and irrigation for congenital nasolacrimal duct obstruction. Arch Ophthalmol 1986;104:378-379. 2. Ugurbas SH, Guler Z, Saatci M. Otolaryngological findings in congenital nasolacrimal duct obstruction and implications for prognosis. Br J Ophthalmol 2000;84:917-918.
This PDF is available to Subscribers Only