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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
07:30

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

Pediatric nasolacrimal duct obstruction

Bruce M Schnall1

  • 1Wills Eye Institute, Philadelphia, Pennsylvania, USA. BSchnall@aol.com

Current Opinion in Ophthalmology
|July 13, 2013
PubMed

Insights

Pediatric nasolacrimal duct obstruction and congenital dacryocele management involves effective probing options. Early office probing or later anesthesia-assisted probing yield similar results, but anisometropic amblyopia requires monitoring.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine

Background:

  • Pediatric nasolacrimal duct obstruction (NLDO) and congenital dacryocele are common conditions.
  • Timely management is crucial to prevent complications.

Purpose of the Study:

  • To review current management strategies for pediatric nasolacrimal duct obstruction.
  • To outline treatment approaches for congenital dacryocele.

Main Methods:

  • Literature review of current management protocols.
  • Analysis of treatment outcomes for probing and medical management.

Main Results:

  • Office-based probing and anesthesia-assisted probing (after one year) show comparable efficacy.
  • Congenital NLDO is linked to anisometropic amblyopia.
  • Unilateral dacryocele increases risk for contralateral dacryocele development.

Conclusions:

  • Ophthalmologists can choose between early office probing or delayed anesthesia-assisted probing.
  • Failed probings warrant general anesthesia with balloon catheterization or intubation.
  • Ongoing monitoring for anisometropic amblyopia is essential in children with congenital NLDO.
Abstract

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