Опыт хирургического лечения дакриостенозов у детей: результаты и осложнения

Abstract

Currently, there is a high interest of health care professionals in the treatment of childhood dacryostenosis. The problem of dacryostenosis is at the intersection of ophthalmology and rhinology. However, more often patients seek eye care due to the fact that the leading complaints are lacrimation and purulent discharge from the eye. Analysis of the literature shows the absence of consensus on the methods of surgical treatment, materials and the timing of the stent in the lacrimal ducts. Purpose . Analysis of the first 30 cases of surgical treatment for dacryostenosis in children performed in the Department of ophthalmology of the Сhildren’s Clinical Hospital in Kazan. Material and methods . Analysis of surgical treatment for dacryostenosis in 30 children aged from 11 months to 8 years 10 months. To restore patency of the tear ducts, we applied the method of S.F. Shkolnik proposed in 2009 with some of our modifications in terms of tools and materials for intubation. Results . In most children, the disease began at birth. Prior to surgical treatment, they had from 0 to 4 soundings of the tear ducts. In the vast majority of cases, dacryostenosis was single-level and associated with congenital anomalies. There were post-traumatic changes in 2 cases. The complications included 2 cases of recurrence of dacryostenosis associated with insufficient stent in the lacrimal ducts and 2 cases of corneal erosion. Conclusion . In our opinion, it is optimal to find a stent in the lacrimal ducts in children for a month. However, the method of surgical treatment for dacryostenosis in children requires further study and standardization.