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[Lacrimal pathology in the infant and the child]
1Cabinet Mozart, 46, avenue Mozart, 75016 Paris, France; Service d'ophtalmologie, hôpital Necker - Enfants Malades, AP-HP, 145, rue de Sèvres, 75015 Paris, France. oculoplastie@hotmail.fr
Insights
Congenital dacryocele and nasolacrimal duct obstruction are common infant tearing causes. Pediatricians should recognize these, with treatment involving ophthalmologic probing from three months old.
Area of Science:
- Ophthalmology
- Pediatrics
Background:
- Tearing and lacrimal pathologies are frequent reasons for medical consultation in infants.
- Congenital dacryocele and nasolacrimal duct obstruction, particularly due to Hasner valve imperforation, are primary causes of infant tearing.
Purpose of the Study:
- To inform pediatricians about common congenital causes of infant tearing.
- To outline the standard treatment protocols for nasolacrimal duct obstruction in infants.
Main Methods:
- Review of common congenital lacrimal pathologies in infants.
- Description of ophthalmologic interventions for nasolacrimal duct obstruction.
Main Results:
- Nasolacrimal duct obstruction is the leading cause of infant tearing.
- Treatment involves ophthalmologic probing starting at three months of age.
Conclusions:
- Pediatricians must be aware of congenital dacryocele and nasolacrimal duct obstruction.
- Probing with silicone intubation is indicated for persistent cases or in older children.
Abstract:
Tearing and lacrimal pathologies are very frequent motives of consultation. The pediatrician must know the congenital dacryocele, and nasolacrimal duct obstruction by the Hasner valve imperforation, which represents the main reason of tearing of the infant. Nasolacrimal duct obstruction is treated by probing by the ophthalmologist from the third month and by probing with silicone intubation in case of failure, or in the children of more than one year old.
