Epiphora during the first year of life
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1Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee.
Insights
Epiphora, or watery eyes, affects 20% of infants, typically resolving spontaneously within the first year. This study suggests delaying interventions like probing until after age one.
Area of Science:
- Ophthalmology
- Pediatrics
- Neonatal Care
Background:
- Epiphora (watery eyes) is a common condition in infants.
- Defective lacrimal drainage is a frequent cause of infant epiphora.
- Understanding the natural history is crucial for appropriate management.
Purpose of the Study:
- To determine the incidence of epiphora in infants.
- To describe the natural history of epiphora during the first year of life.
- To evaluate the efficacy of early intervention for blocked tear ducts.
Main Methods:
- A prospective cohort study observed 4,792 infants.
- Data collected on the presence and timing of epiphora symptoms.
- Incidence and spontaneous resolution rates were calculated.
Main Results:
- 20% of infants (964/4,792) showed signs of defective lacrimal drainage.
- 95% of symptomatic infants presented within the first month of life.
- 96% of cases resolved spontaneously before 12 months of age.
Conclusions:
- Epiphora in infants has a high rate of spontaneous resolution.
- Current evidence does not support probing for blocked tear ducts before one year of age.
- Conservative management is recommended for infant epiphora.
Abstract:
A cohort of 4,792 infants was observed in order to determine the incidence and natural history of epiphora during the first year of life. Evidence of defective lacrimal drainage was present in 964 (20%) at some time during the year. 95% became symptomatic during the first month of life. Spontaneous remission occurred throughout the year and 96% had resolved before the age of one. This study provides no evidence to support probing before the age of one year.