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Published on: February 5, 2019
[Diagnosis and treatment of tearing in infancy]
1Service d'ophtalmopédiatrie, fondation ophtalmologique Adolphe-de-Rothschild, 25-29, rue Manin, 75940 Paris cedex 19, France. alexandra.guez@hotmail.fr <alexandra.guez@hotmail.fr>
Insights
Tearing in infants is common and diagnosed through parental history and examination. Key causes include congenital nasolacrimal duct obstruction and congenital glaucoma.
Area of Science:
- Ophthalmology
- Pediatrics
Context:
- Tearing (epiphora) is a frequent symptom in infants, especially within the first year of life.
- Accurate diagnosis is crucial for appropriate management of infant tearing.
Purpose:
- To outline the diagnostic approach for infant tearing.
- To identify the primary causes of tearing in newborns and infants.
Summary:
- Diagnosis of infant tearing relies on detailed parental history regarding the onset and characteristics of tearing since birth.
- A simple clinical examination aids in confirming the diagnosis.
- The most frequent causes are congenital nasolacrimal duct obstruction and congenital glaucoma, necessitating prompt identification due to their prevalence and potential severity.
Impact:
- Facilitates early and accurate diagnosis of common and serious causes of infant tearing.
- Guides healthcare providers in managing epiphora in newborns, potentially preventing long-term visual impairment.
Abstract:
Tearing in infancy is a very frequent symptom, particularly during the first year of life. A definite diagnosis can be made easily, only by questioning the parents about the characteristics and the evolution of the tearing since the birth and with a simple examination. The main causes are congenital nasolacrimal duct obstruction account of his high frequency in infant and congenital glaucoma account of his seriousness.
