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Selection of surgical intervention for congenital dacryocystocele
Yi Zhang1, Yu Fan2, Jinlu Fan3
11 Department of Ophthalmology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.
Insights
Nasal endoscopic surgery effectively treats congenital dacryocystocele in children, achieving an 81.5% cure rate with minimal complications. This safe and successful surgical intervention requires further training for wider ophthalmologist adoption.
Area of Science:
- Ophthalmology
- Surgical Interventions
- Pediatric Surgery
Background:
- Congenital dacryocystocele is a common condition in infants.
- Surgical intervention is a key treatment modality.
- Evaluating surgical outcomes is crucial for clinical practice.
Purpose of the Study:
- To assess the efficacy and safety of surgical intervention for congenital dacryocystocele.
- To analyze the outcomes of surgical treatment in a large pediatric cohort.
Main Methods:
- Retrospective analysis of 531 children diagnosed with congenital dacryocele.
- Data collected from multiple hospitals between 2007 and 2017.
- Follow-up ranging from 3 to 24 months, assessing complications and clinical signs.
Main Results:
- High success rate with 81.5% complete cure and 18.5% improvement.
- No serious intraoperative or postoperative complications were reported.
- Outcomes were categorized by resolution of symptoms like overflowing tears and empyema.
Conclusions:
- Nasal endoscopic surgery demonstrates a high success rate and safety profile for treating congenital dacryocystocele.
- Systematic training is recommended to increase the adoption of this technique by ophthalmologists.
Purpose::
To evaluate the surgical intervention and its effect on congenital dacryocystocele.
Methods::
A total of 531 children with congenital dacryocystocele admitted to the Department of Ophthalmology of Beijing Children's Hospital, Shanghai Aier Eye Hospital, Nanjing Aier Eye Hospital, and the First Affiliated Hospital of Jinzhou Medical University between January 2007 and January 2017 were retrospectively analyzed.
Results::
A total of 531 patients were followed up for 3-24 months, with an average of 13.3 months. No serious intraoperative complications (such as bleeding and tissue damage) and postoperative complications (bleeding, infection, and hole atresia) were found. We classified the outcomes into three categories based on the signs (overflowing tears and empyema) and objective routine follow-up by endoscopy. Cure indicated that mass, overflow of tears, and breathing difficulties disappeared, and 81.5% cases (433/531) were postoperatively cured. Improvement indicated disappearance of mass, overflow empyema, and the presence of residual tears (due to trocar and tears puncture), and 18.5% cases (98/531) were postoperatively improved. Unhealed indicated overflowing pus and tears, and 0% cases did not heal after surgery.
Conclusions::
Nasal endoscopic surgery is relatively safe, with high success rate for treatment of congenital dacryocystocele. Systematic training is required to promote the application of nasal endoscopy, so that more ophthalmologists can learn this technique.
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