Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation
Science Journal of Clinical Medicine
Volume 8, Issue 2, March 2019, Pages: 13-16
Received: Apr. 15, 2019;
Accepted: May 29, 2019;
Published: Jun. 19, 2019
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Esmat Karbasi, Department of Ophthalmology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Narges Khanjani, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
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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.
Nasolacrimal Duct Obstruction, Treatment, Probing, Irrigation
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Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation, Science Journal of Clinical Medicine.
Vol. 8, No. 2,
2019, pp. 13-16.
Copyright © 2019 Authors retain the copyright of this article.
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