Abstract

Objective To evaluate different methods and timing in out patient treatment of congenital nasolacrimal duct obstruction(CNLDO).Methods In the retrospective study,735 infant (837eyes)who were diagnosed as CNLDO in Children's Hospital of Fudan University were involved, the mean age at first examina- tion was 4.5 months.According to age and symptoms,patients were treated with conservative treatment, high-pressure irrigation or nasolacrimal duct probing.All patients wore followed up at least 3~16 months, the mean time was 6.5 months. Clinical success was defined as complete resolution of epiphora.Results The suc- cess rate of this three treatments was 14.7%,25.4% ,97.2% and 15 eyes wore failure.And the success rate with one time probing in the early probing group was 87.7% ( 7 months). Conclusion Nasolacrimal duct probing is a safe and effective method in CNLDO treatment.Also, our dates show that optimal intervention time is 4~6 months. Key words: Nasolacrimal duct obstruction; lacrimal duct probing; Congenital

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