Surgical outcome of pediatric dacryocystorhinostomy in Nepal.

Abstract

PURPOSE:

To report the indications and surgical outcome of dacryocystorhinostomy (DCR) in children treated at a single tertiary eye hospital in Nepal.

METHODS:

The medical records of consecutive pediatric patients who underwent external DCR with silicon tube intubation after failed nasolacrimal irrigation and probing from January 2010 to June 2011 were retrospectively reviewed. Surgical success was defined as resolution of epiphora, normal tear film height, negative fluorescein dye disappearance test and anatomic patency determined by irrigation of the lacrimal system.

RESULTS:

The etiology of the nasolacrimal duct obstruction was acquired nasolacrimal duct obstruction (NLDO) in 63%, congenital NLDO in 23%, trauma in 1% and congenital bony abnormality in 1 patient. Of the 38 patients who completed follow-up, 37 (97%) had a successful result.

CONCLUSIONS:

External DCR effectively treated a variety of pediatric NLDO etiologies, with a low rate of complications.

• Authors: Ruchi Shrestha, Deepak Sobti, Sulene L Chi, Rohit Saiju, Michael Richard
• Journal: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus (J AAPOS) Vol. 18 Issue 4 Pg. 368-9 (Aug 2014) ISSN: 1528-3933 [Electronic] United States
• PMID: 25173901 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

Chemical References

• Silicones

Topics

• Adolescent
• Child
• Child, Preschool
• Dacryocystorhinostomy
• Female
• Humans
• Intubation
• Lacrimal Duct Obstruction (congenital, genetics)
• Male
• Nasolacrimal Duct (surgery)
• Nepal
• Retrospective Studies
• Silicones
• Tertiary Care Centers
• Therapeutic Irrigation
• Treatment Outcome