Initial Probing In Children Presenting At the Age of Three To Four Years

Authors

  • Muhammad Israr
  • Khalil Khan Zahir
  • Adnan Khattak
  • Irfanullah Khattak

DOI:

https://doi.org/10.47672/ajhmn.930

Keywords:

Initial probing, children, under, ¾ year

Abstract

Objective: The aim of this study is to find out the ration of success in the initial probing for the congenital nasolacrimal duct obstruction at age 25th month to 60th month.

Methodology: The study was prospective non-comparative interventional case series. The study included 59 eyes of 47 patients who visited the Ophthalmology HMC Peshawar in 2020. The patients were labelled as CNLDO with history of epiphora and or discharge since birth or first few days of life. The diagnosis was confirmed with evaluation in which it was assessed that there is no other associated adnexal issue like conjunctively congestion.  Examination also included tear meniscus height and resurge test.

Results: In prospective non-comparative interventional case series 52 eyes of 41 patients between the ages of 25 to 60 months with CNLDO were probed. Most of the patients were females i.e. 27. Most of the obstructions were of complex type i.e. 32 while 20 patients were of membranous type. Patients with bilateral CNLDO were 11. Successes ratio of probing in membranous type of obstruction was 90% i.e. 18 eyes got cured while two eyes needed repeated probing. While in case of complex obstruction the success ratio was, 32.2 % i.e. only 10 patients got cured out of 32 patients. Overall success ratio was 54% i.e 28 of 54.

Conclusion: Children presenting with congenial nasolacrimal duct obstruction in older ages should be probed initially.

Downloads

Download data is not yet available.

Author Biographies

Muhammad Israr

Fellow Pediatric Ophthalmology HMC Peshawar, Pakistan.

Khalil Khan Zahir

Fellow Pediatric Ophthalmology HMC Peshawar, Pakistan.

Adnan Khattak

Health Department KPK, Pakistan

Irfanullah Khattak

Specialist Registrar Ophthalmology, HMC, Peshawar, Pakistan.

References

MacEwen CJ, Young JDH. Epiphora during the first year of life. Eye 2020;5(Pt 5):596-600

Nelson LB, Calhoun JH, Menduke H. Medical management of congenital nasolacrimal duct obstruction. Ophthalmology 2019; 92(9):1187-90.

Mannor GE, Rose GE, Frimpong-Ansah K, et al. Factors affecting the success of nasolacrimal duct probing for congenital nasolacrimal duct Obstruction. Am J Ophthalmol 2020; 127(5):616-17

Katowitz JA, Welsh MG. Timing of initial probing and irrigation in congenital nasolacrimal duct obstruction. Ophthalmology2018; 94(6):698-705.

Paul TO, Shepherd R. Congenital nasolacrimal duct obstruction: natural history and the timing of optimal intervention. J Pediatr Strabismus 2018; 31(6):362-7.

Robb RM. Success rate of nasolacrimal duct probing at time intervals after 1 year of age. Ophthalmology 2018;105(7):1307-9.

Zwaan J. Treatment of congenital nasolacrimal duct obstruction before and after the age of 1 year. Ophthalmic Surg Lasers 2017; 28(11):932-6

El-Mansoury J, Calhoun JH, Nelson LB, et al. Results of late probing for congenital nasolacrimal duct obstruction. Ophthalmology 2016; 93(8):1052-4

Cifici F, Akman A, Sonmez M, et al. Systematic, combined treatment approach to nasolacrimal duct obstruction in different age groups. Eur J Ophthalmol 2000;10(4):324-9

Kashkouli MB, Beigi B, Parvaresh MM, et al. Late and very late initial probing for congenital nasolacrimal duct obstruction: What is the cause of failure? Br J Ophthalmol 2018; 87(9):1151-3

Sturrock SM, MacEwen CJ, Young JDH. Long term results after probing for congenital nasolacrimal duct obstruction. Br J Ophthalmol 2021; 78(12):892-4.

Robb R, Probing and irrigation for congenital nasolacrimal duct obstruction, Arch Ophthalmol, 2016;104:378-9.

Baker JD, Treatment of congenital naso-lacrimal duct obstruction, J Pediatr Ophthalmol Strabismus, 2016;22:34-5.

Koke MP, Treatment of occluded naso-lacrimal ducts in infants, Arch Ophthalmol, 2016;43:750-54.

Kashkouli MB, Kassaee A, Tabatabaee Z, Initial nasolacrimal duct probing in children under age 5: cure rate and factors affecting success, J Pediatr Ophthalmol Strabismus, 2021;6:360-63

MacEwen CJ, Young JDH, Epiphora during the first year of life, Eye, 2018;5:596-600.

Price HW, Dacryostenosis, J Pediatr, 2021;30:302-5

Young JDH, MacEwen CJ, Ogston SA. Congenital nasolacrimal duct obstruction in second year of life: a multicenter trial of management. Eye 2015;10:485-91

Value of nasal endoscopy and probing in the diagnosis and management of children with congenital epiphora.

Honavar SG, Prakash VE, Rao GN. Outcome of probing for congenital nasolacrimal duct obstruction in older children. Am J Ophthalmol 2000; 130: 42-8.

Kushner BJ. The management of nasolacrimal duct obstruction in children between 18 months and 4 years old. J AAPOS 2020; 2: 57-60.

Downloads

Published

2022-02-18

How to Cite

Israr, M. ., Zahir, K. K. ., Khattak, A. ., & Khattak, I. . (2022). Initial Probing In Children Presenting At the Age of Three To Four Years. American Journal of Health, Medicine and Nursing Practice, 7(3), 16–20. https://doi.org/10.47672/ajhmn.930

Issue

Section

Articles