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Published on: October 13, 2017
"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.
Purpose:
To assess the success rate of pushed stent intubation in children with complex congenital nasolacrimal duct obstruction (CNLDO).
Methods:
This prospective study was performed in a single academic center. Forty-four eyes with complex CNLDO were treated with pushed stent intubation. Outcome measures included clinical signs plus a parental history of residual symptoms at 6 months after surgery. Relative risk with 95% confidence intervals (CI) for outcomes was reported.
Results:
The mean follow-up after surgery was 9.0 months (range 6.5-13 months). Complete resolution was achieved in 26 of 44 eyes (59.1%; 95% CI 43.3%-73.3%) after pushed stent. Sex (odds ratio [OR] 2.9; 95% CI 0.4-18.9), age (OR 0.9; 95% CI 0.5-1.5), previous history of probing (OR 1.1; 95% CI 0.1-8.1), and presence of mucopurulent discharge (OR 1.1; 95% CI 0.1-7.8) did not have significant impact on the failure rate in all subjects.
Conclusions:
In patients with complex CNLDO, treatment with a pushed stent intubation alleviated the clinical signs and symptoms of CNLDO. Pushed stent has the advantage of reduced operating time and easy placement.
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