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Nasolacrimal duct obstruction in children: outcome of primary intubation

Mariya Nazish Memon1, Sorath Noorani Siddiqui, Mohammed Arshad

  • 1Department of Paediatric Ophthalmology, Al Shifa Trust Eye Hospital, Rawalpindi. mariyamemon@hotmail.com

JPMA. the Journal of the Pakistan Medical Association
|July 23, 2013
PubMed

Insights

Nasolacrimal intubation effectively treats congenital nasolacrimal duct obstruction (NLDO) in children up to 4 years old. This primary treatment achieved an 89% success rate, with higher efficacy in younger children.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital nasolacrimal duct obstruction (NLDO) is a common condition in infants.
  • Early intervention is crucial to prevent complications such as dacryocystitis.

Purpose of the Study:

  • To assess the efficacy of nasolacrimal intubation as a primary treatment for congenital NLDO.
  • To evaluate outcomes in children up to 4 years of age.

Main Methods:

  • A prospective study involving 59 children (65 eyes) aged 12-48 months with congenital NLDO.
  • Nasolacrimal intubation using an olive tip silicon tube was performed under general anesthesia.
  • Success was defined as treatment success one month post-tube removal; complications were also recorded.

Main Results:

  • An overall success rate of 89% was observed for nasolacrimal intubation.
  • Success rates were higher in children under 3 years (92%) compared to those aged 3-4 years (P < 0.2860).
  • Leaving the tube in situ for 3-6 months yielded a high success rate (92.3%).

Conclusions:

  • Nasolacrimal intubation with an olive tip silicon tube is a successful primary treatment for congenital NLDO in children under 4.
  • The procedure demonstrates good efficacy, particularly in younger age groups.
  • Optimal tube retention duration may influence treatment success.
Abstract

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