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Lacrimal drainage obstruction and dacryocystorhinostomy in children.
Eye (Lond). 2008 Jul; 22(7):918-24.E

Abstract

PURPOSE

To determine the outcome of dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) in children.

METHODS

A review of medical records of 104 cases (82 patients) of paediatric DCR who underwent DCR at the Sydney Eye Hospital from 1995 to 2004. The main outcome measures included post-operative symptomatic relief of presenting symptoms, complications, subjective visibility of any scar, and general satisfaction. Statistical methods included chi(2) tests, and Student's t-tests for the comparison of variables among groups.

RESULTS

Ninety-four external, 10 endoscopic primary procedures, and five revision procedures were included. Fifty-six of the cases were primary NLDO, and 48 were secondary NLDO. The mean follow-up was 1.44 years. Average age at surgery was 6.6+/-4.2 years (mean+/-SD). Ninety-one eyes needed DCR for the involvement of the lower lacrimal outflow system, and 13 eyes were NLDO associated with congenital punctual/canalicular dysgenesis.Most of the complications of external DCR were related to Jones tube placement. Five cases (4.8%) needed DCR revision. There was a significantly higher incidence of revision surgery in the non-stented group (P<0.01), and the Jones tube group (P<0.001) as compared with the silicone intubation stent group.

CONCLUSIONS

External DCRs have acceptable long-term clinical and cosmetic results, and low post-operative complication rate. Cases with punctal stenosis or those requiring Jones tube insertion are associated with a higher complication rate. Silicone intubation is associated with a lower need for operative revision.

Authors+Show Affiliations

Oculoplastic unit, Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, New South Wales, Australia. nemeta@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

17363927

Citation

Nemet, A Y., et al. "Lacrimal Drainage Obstruction and Dacryocystorhinostomy in Children." Eye (London, England), vol. 22, no. 7, 2008, pp. 918-24.
Nemet AY, Fung A, Martin PA, et al. Lacrimal drainage obstruction and dacryocystorhinostomy in children. Eye (Lond). 2008;22(7):918-24.
Nemet, A. Y., Fung, A., Martin, P. A., Benger, R., Kourt, G., Danks, J. J., & Tong, J. C. (2008). Lacrimal drainage obstruction and dacryocystorhinostomy in children. Eye (London, England), 22(7), 918-24.
Nemet AY, et al. Lacrimal Drainage Obstruction and Dacryocystorhinostomy in Children. Eye (Lond). 2008;22(7):918-24. PubMed PMID: 17363927.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lacrimal drainage obstruction and dacryocystorhinostomy in children. AU - Nemet,A Y, AU - Fung,A, AU - Martin,P A, AU - Benger,R, AU - Kourt,G, AU - Danks,J J, AU - Tong,J C, Y1 - 2007/03/16/ PY - 2007/3/17/pubmed PY - 2008/12/30/medline PY - 2007/3/17/entrez SP - 918 EP - 24 JF - Eye (London, England) JO - Eye (Lond) VL - 22 IS - 7 N2 - PURPOSE: To determine the outcome of dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) in children. METHODS: A review of medical records of 104 cases (82 patients) of paediatric DCR who underwent DCR at the Sydney Eye Hospital from 1995 to 2004. The main outcome measures included post-operative symptomatic relief of presenting symptoms, complications, subjective visibility of any scar, and general satisfaction. Statistical methods included chi(2) tests, and Student's t-tests for the comparison of variables among groups. RESULTS: Ninety-four external, 10 endoscopic primary procedures, and five revision procedures were included. Fifty-six of the cases were primary NLDO, and 48 were secondary NLDO. The mean follow-up was 1.44 years. Average age at surgery was 6.6+/-4.2 years (mean+/-SD). Ninety-one eyes needed DCR for the involvement of the lower lacrimal outflow system, and 13 eyes were NLDO associated with congenital punctual/canalicular dysgenesis.Most of the complications of external DCR were related to Jones tube placement. Five cases (4.8%) needed DCR revision. There was a significantly higher incidence of revision surgery in the non-stented group (P<0.01), and the Jones tube group (P<0.001) as compared with the silicone intubation stent group. CONCLUSIONS: External DCRs have acceptable long-term clinical and cosmetic results, and low post-operative complication rate. Cases with punctal stenosis or those requiring Jones tube insertion are associated with a higher complication rate. Silicone intubation is associated with a lower need for operative revision. SN - 0950-222X UR - https://www.unboundmedicine.com/medline/citation/17363927/Lacrimal_drainage_obstruction_and_dacryocystorhinostomy_in_children_ L2 - https://doi.org/10.1038/sj.eye.6702769 DB - PRIME DP - Unbound Medicine ER -