TY - JOUR
T1 - Success rates of conventional versus endoscope-assisted probing for congenital nasolacrimal duct obstruction in children 12 years and younger
AU - Galindo-Ferreiro, Alicia
AU - Akaishi, Patricia
AU - Cruz, Augusto
AU - Khandekar, Rajiv
AU - Dossari, Saif
AU - Dufaileej, Mohammed
AU - Galvez-Ruiz, Alberto
AU - Schellini, Silvana
N1 - Publisher Copyright:
© SLACK Incorporated.
PY - 2016
Y1 - 2016
N2 - Purpose: To compare the success rates for congenital nasolacrimal duct obstruction (CNLDO) treated with conventional probing versus endoscope-assisted probing. Methods: A retrospective nonrandomized comparison of the success rates in children (0 to 12 years) with CNLDO who underwent conventional probing or endoscope-assisted probing. Success was defined as absence of tearing or negative fluorescein dye disappearance test. Stent was evaluated. Results: A total of 270 patients with CNLDO comprised the study population. The mean age was 37 months in the conventional probing group and 48.5 months in the endoscope-assisted probing group. The subjective and objective success rates were 76.1% and 75.9%, respectively, in the conventional probing group and 95.7% and 95.7%, respectively, in the endoscope-assisted probing group. The success rates were higher for both methods in the endoscope-assisted probing group (P < .005). The success rate decreased in older children in the conventional probing group (100% < 6 months; 62.5% > 48 months) and remained stable in the endoscope-assisted probing group (100% < 6 months; 97% > 48 months). Stent did not improve success. Conclusions: Endoscope-assisted probing increased success in older children and children with bilateral obstruction.
AB - Purpose: To compare the success rates for congenital nasolacrimal duct obstruction (CNLDO) treated with conventional probing versus endoscope-assisted probing. Methods: A retrospective nonrandomized comparison of the success rates in children (0 to 12 years) with CNLDO who underwent conventional probing or endoscope-assisted probing. Success was defined as absence of tearing or negative fluorescein dye disappearance test. Stent was evaluated. Results: A total of 270 patients with CNLDO comprised the study population. The mean age was 37 months in the conventional probing group and 48.5 months in the endoscope-assisted probing group. The subjective and objective success rates were 76.1% and 75.9%, respectively, in the conventional probing group and 95.7% and 95.7%, respectively, in the endoscope-assisted probing group. The success rates were higher for both methods in the endoscope-assisted probing group (P < .005). The success rate decreased in older children in the conventional probing group (100% < 6 months; 62.5% > 48 months) and remained stable in the endoscope-assisted probing group (100% < 6 months; 97% > 48 months). Stent did not improve success. Conclusions: Endoscope-assisted probing increased success in older children and children with bilateral obstruction.
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U2 - 10.3928/01913913-20160610-02
DO - 10.3928/01913913-20160610-02
M3 - Article
C2 - 27383144
AN - SCOPUS:84990057843
SN - 0191-3913
VL - 53
SP - 292
EP - 299
JO - Journal of pediatric ophthalmology and strabismus
JF - Journal of pediatric ophthalmology and strabismus
IS - 5
ER -