Abstract
Background: Nasolacrimal duct obstruction is the most common abnormality of the lacrimal system in children leading to epiphora. Approximately 20% of newborns are affected by it. It may be complicated by recurrent conjunctivitis, chronic dacryocystitis, and lacrimal abscess formation, if not treated in time. Objectives: To study the outcome and complications of probing for congenital nasolacrimal duct obstruction under topical anesthesia. Materials and Methods: In this hospital based prospective interventional study, probing was done under topical anesthesia (lidocaine 4%) in 50 patients (60 eyes) in the age group of 3 months to 12 months, over a period of 1 year in which conservative treatment with antibiotic drops and sac massage had failed Results: Success rate of this procedure was 91.66% with rst and 93.33% after second probing without any untoward complication. Conclusion: Probing under topical anesthesia is a safe, quick and convenient method of treatment for congenital nasolacrimal duct obstruction.
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