The Characteristics of Infants with Congenital Nasolacrimal Duct Obstruction Iimproved with Lacrimal Sac Digital Massage.
10.3341/jkos.2008.49.10.1559
- Author:
Chang Ho KIM
1
;
He len LEW
;
Young Soo YUN
Author Information
1. Department of Ophthalmology, Pochon CHA University College of Medicine, Pundang CHA Hospital, Sungnam, Korea. eye@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Congenital nasolacrimal duct obstruction;
Lacrimal sac massage;
Probing
- MeSH:
Anti-Bacterial Agents;
Birth Weight;
Conjunctivitis;
Eye;
Eyelids;
Gestational Age;
Humans;
Infant;
Infant, Newborn;
Massage;
Nasolacrimal Duct;
Parturition;
Passive Cutaneous Anaphylaxis
- From:Journal of the Korean Ophthalmological Society
2008;49(10):1559-1564
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The treatments for congenital nasolacrimal duct obstruction range from minimally invasive to more invasive methods. Initially, clinicians select lacrimal sac massage with topical antibiotics application or early lacrimal sac probing. We studied if the characteristics of infants improved after lacrimal sac massage with topical antibiotic application. METHODS: Two hundred thirty-four eyes of 204 patients diagnosed with congenital nasolacrimal duct obstruction from March 2001 to January 2007 were included. Excluded were infants who had obvious epiblepharon or eyelid abnormalities, tumors of the lacrimal system, or a history of trauma. Neonates less than 1 month were also excluded to rule out neonatal conjunctivitis. At the first visit, we recorded birth profile information such as gestational age, birth weight and height, onset time of symptoms, and post-conceptional age. We compared the results between the successful treatment group and failure group after lacrimal sac massage and topical antibiotic application. RESULTS: One hundred twenty-three eyes showed improvement after conservative treatment (52.6%), and the infants included in the success group visited earlier and had lower PCA (P<0.05). No other factors evaluated in this study contributed toward the improvement in symptoms observed. CONCLUSIONS: When considering treatment for congenital nasolacrimal duct obstruction, an evaluation of factors related to birth should be performed. According to the results, infants with the characteristics of favorable outcome should be treated conservatively, while those patients who do not have the characteristics for favorable outcome should be treated by early probing to achieve an effective and satisfactory outcome.
