PROBING OUTCOMES FOR CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION IN DUHOK CITY

Niwar AMEEN OTHMAN, Nour MOAFIQ MASOUD, Dildar HAJI MUSA
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Abstract

Background: Epiphora is generally a common disorder in children particularly in infants; congenital nasolacrimal duct obstruction (CNLDO) is one of the most frequent causes of epiphora of newborns which symptoms start immediately or within first 2-3 week after birth as tearing and/or discharge of one or both eyes. Aim: To report the success rate of probing and irrigation for children with CNLDO of different ages. Methods and Materials: This is retrospective observational comparative study, which was held in Duhok eye hospital, 241 eyes from 209 children from with age range from 6 months to 9 years age, diagnosed as CNLDO included , probing and irrigation done under general anesthesia, according to age, the children were arranged into 4 groups, group I from 6 – 9 months, group II from 9 – 12 months, group III from 1 – 3 years and finally group IV from 3 – 9 years, mean age was 1.8 years. Results: From 209 children 109 were females and 100 were male. 177 children have unilateral CNLDO and 32 children were having bilaterally obstructed nasolacrimal passage. The success rate was as follows; group 1 (94.6%), group 2 (89.3%), group 3 (81.6%) and group 4 (72.9%). And was defined as a complete resolution tearing and discharge. Conclusion: Probing is the first surgical intervention for CNLDO not resolving with conservative treatment, despite the decrease in the success rate with increasing age it worthwhile to be the first procedure attempted to open the obstructed duct before proceeding to a more invasive procedure.
杜鹤市先天性鼻泪管阻塞的探查结果
背景:泪显是儿童尤其是婴幼儿常见的疾病;先天性鼻泪管阻塞(CNLDO)是新生儿泪显最常见的原因之一,其症状立即或在出生后最初2-3周内开始,表现为单眼或双眼流泪和/或流泪。目的:报告不同年龄CNLDO患儿探灌术的成功率。方法和材料:这是回顾性观察比较研究,在Duhok眼科医院,241只眼睛从209名儿童从6个月到9岁年龄,诊断为CNLDO包括探测和灌溉在全身麻醉下进行,根据年龄,孩子们被安排成4组,组我从6 - 9个月,第二组从9 - 12个月,第三组从1 - 3年,最后第四组3 - 9年,平均年龄为1.8岁。结果:209例患儿中,女109例,男100例。单侧CNLDO患儿177例,双侧鼻泪道梗阻患儿32例。成功率如下:1组(94.6%)、2组(89.3%)、3组(81.6%)、4组(72.9%)。并被定义为完全溶解撕裂和放电。结论:探查是保守治疗不能解决CNLDO的第一个手术干预,尽管成功率随着年龄的增长而下降,但在进行更具侵入性的手术之前,值得首先尝试打开阻塞的导管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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