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Success Rates of Endoscopic-Assisted Probing Compared to Conventional Probing in Children 48 Months or Older

Alicia Galindo-Ferreiro1, Rajiv Khandekar2, Patricia Mitiko Akaishi3

  • 1a Department of Ophthalmology , Rio Hortega University Hospital , Valladolid , Spain.

Seminars in Ophthalmology
|October 27, 2017
PubMed

Insights

Endoscopic-assisted probing shows significantly higher success rates for treating congenital nasolacrimal duct obstruction (CNLDO) in children over 48 months compared to conventional probing. This method is particularly effective in older children.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in children.
  • Older children (≥48 months) with CNLDO often present management challenges.

Purpose of the Study:

  • To compare the success rates of endoscopic-assisted probing versus conventional probing for CNLDO in children aged 48 months and older.

Main Methods:

  • Retrospective study of 112 children (≥48 months) with CNLDO.
  • Comparison between endoscopic-assisted probing (37 patients) and conventional probing (75 patients).
  • Success defined by resolution of tearing/discharge and normal fluorescein dye disappearance test (FDDT).

Main Results:

  • Endoscopic-assisted probing achieved a success rate of 94.6% (CI: 89.5-99.7%).
  • Conventional probing had a success rate of 58.7% (CI: 47.6-69.8%).
  • Higher success rates were observed with endoscopic probing, especially in older children.

Conclusions:

  • Endoscopic-assisted probing offers superior outcomes for treating CNLDO in children, including older age groups.
  • The enhanced visualization and treatment capabilities of endoscopy likely contribute to its higher efficacy.
  • This technique provides a more effective solution for challenging CNLDO cases.
Abstract

Keywords:
Congenital disorderslacrimal diseaselacrimal disordersnasolacrimal ductsurgery

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