"Pushed" stent intubation for treatment of complex congenital nasolacrimal duct obstruction

Bahram Eshraghi1, Amirhossein Aghajani, Abulfazl Kasaei

  • 1Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran - Iran.

Insights

Pushed stent intubation successfully treated complex congenital nasolacrimal duct obstruction (CNLDO) in 59.1% of cases. This method offers reduced operating time and easy placement for pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in infants.
  • Complex cases of CNLDO may require surgical intervention.

Purpose of the Study:

  • To evaluate the success rate of pushed stent intubation for complex CNLDO in children.
  • To assess clinical outcomes and parental-reported symptoms post-procedure.

Main Methods:

  • Prospective study at a single academic center.
  • 44 eyes with complex CNLDO underwent pushed stent intubation.
  • Outcomes assessed at 6 months, including clinical signs and residual symptoms.

Main Results:

  • Complete resolution in 59.1% (26/44 eyes) of cases.
  • Mean follow-up was 9.0 months.
  • Factors like sex, age, prior probing, and discharge did not significantly impact failure rates.

Conclusions:

  • Pushed stent intubation is an effective treatment for complex CNLDO in children.
  • The procedure is associated with shorter operating times and simpler placement.
  • Clinical signs and symptoms were alleviated post-treatment.
Abstract

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