Abstract
Congenital nasolacrimal duct obstruction (CNLDO) is the most common ocular abnormality in children, aged less than 1 year. Noncanalization of the inferior caudal end of the duct is the most common cause. Spontaneous resolution of the obstruction occurs in 96% of the children in the first year of life. Conservative management including lacrimal sac massage and antibiotics, is the mainstay in this age group. For older children nasolacrimal probing efficiently deals with most of the obstructions , however, the timing for probing remains controversial. The other invasive treatments like silicon tube intubation, balloon catheter dilation or Dacryocystorhinostomy may be considered in cases refractory to probing .
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Schnall BM. Pediatric nasolacrimal duct obstruction. Curr Opin Ophthalmol. 2013;24:421–4.
Olitsky SE. Update on congenital nasolacrimal duct obstruction. Int Ophthalmol Clin. 2014;54:1–7.
De la Cuadra-Blanco C, Peces-Pena MD, Janez-Escalada L, et al. Morphogenesis of the human excretory lacrimal system. J Anat. 2006;209:127–35.
Moscato EE, Kelly JP, Weiss A. Developmental anatomy of the nasolacrimal duct: implications for congenital obstruction. Ophthalmology. 2010;117:2430–4.
Weiss AH, Baran F, Kelly J. Congenital nasolacrimal duct obstruction: delineation of anatomic abnormalities with 3-dimensional reconstruction. Arch Ophthalmol. 2012;130:842–8.
Jones LT, Wobig JL. Surgery of the eyelids and lacrimal system. Birmingham, Alabama: Aesculapius; 1976. p. 162–4.
Kushner BJ. The management of nasolacrimal duct obstruction in children aged between 18 months and 4 years. JAAPOS. 1998;2:57–60.
Petris, C.; Liu, D. Probing for congenital nasolacrimal duct obstruction. Cochrane Database Syst. Rev. 2017,7, CD011109.
Crigler LW. The treatment of congenital dacryocystitis. JAMA. 1923;81:23–4.
Kushner BJ. Congenital nasolacrimal system obstruction. Arch Ophthalmol. 1982;100:597–600.
Karti O, Karahan E, Acan D, Kusbeci T. The natural process of congenital nasolacrimal duct obstruction and effect of lacrimal sac massage. Int Ophthalmol. 2016;36:845–9.
Katowitz JA, Welsh MG. Timing of initial probing and irrigation in congenital nasolacrimal duct obstruction. Ophthalmology. 1987;94:698–705.
Ayman E, Abd El Ghafar AE. Endoscopic-guided probing for the management of congenital nasolacrimal duct obstruction. Delta J Ophthalmol 2015;16:93–6.
Grover AK. Management of nasolacrimal duct obstruction in children: how is it changing? Indian J Ophthalmol. 2017;65:910–1.
Pediatric Eye Disease Investigator Group, Repka MX, Melia BM, Beck RW, Atkinson CS, Chandler DL, et al. Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age. J AAPOS. 2008;12:445–50.
Tao S, Meyer DR, Simon JW, Zobal-Ratner J. Success of balloon catheter dilatation as a primary or secondary procedure for congenital nasolacrimal duct obstruction. Ophthalmology. 2002;109:2108–11.
Komínek P, Cervenka S, Matousek P, Pniak T, Zeleník K. Primary pediatric endonasal dacryocystorhinostomy—a review of 58 procedures. Int J Pediatr Otorhinolaryngol. 2010;74:661–4.
Bothra N, Wani RM, Ganguly A, Tripathy D, Rath S. Primary nonendoscopic endonasal versus external dacryocystorhinostomy in nasolacrimal duct obstruction in children. Indian J Ophthalmol. 2017;65:1004–7.
Limbu B, Katwal S, Lim NS, Faierman ML, Gushchin AG, Saiju R. Comparing outcomes of pediatric and adult external dacryocystorhinostomy in Nepal: is age a prognostic factor? Orbit. 2017;36:237–42.
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Grover, A.K., Bageja, S., Sawhney, A., Mittal, A. (2020). Congenital Nasolacrimal Duct Obstruction. In: El Toukhy, E. (eds) Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-36934-7_21
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DOI: https://doi.org/10.1007/978-3-030-36934-7_21
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