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NR 4-6/2006
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Ocena leczenia
wrodzonej niedrożności dróg łzowych w materiale własnym
Evaluation of therapy
outcome in congenital nasolacrimal duct obstruction in own
material
Ewa Lipiec, Mirosława Grałek, Anna Niwald
Klinika Okulistyki Dziecięcej
Katedra Pediatrii Zabiegowej
SP ZOZ Uniwersytecki Szpital Kliniczny Nr 4 Uniwersytetu
Medycznego w Łodzi
P.o. kierownika: dr n. med. Anna Niwald |
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| Summary: |
The inborn nasolacrimal
duct obstruction is common ocular disease in new-borns
and infants. There are still doubts concerning the
timing of the operating procedure. Probing of the
lacrimal ducts is the therapeutic method for this
condition.
Purpose: To evaluate the therapy outcome in
congenital nasolacrimal duct obstruction in authors’ own
material.
Material and methods: In retrospective study of
3950 medical records of children from our Outpatient’s
Clinic, we distinguished 192 children with nasolacrimal
duct obstruction. Then, we evaluated the outcome of
implemented treatment in correlation with their age and
timing of the nasolacrimal duct probing.
Results: All children with nasolacrimal duct
obstruction had mucopurulent discharge in the lacrimal
sac and lacrimation. After the conventional treatment,
the disease resolved in 23% of our group, whereas, in
the rest of the patients probing of the nasolacrimal
duct was implemented. The probing was successful in all
children, but it was necessary to repeat the procedure
twice in 13 children and three times in 5 children. The
success rate of single probing was as follows: 91% in
the group of children 1 – 3 months old, 83% in both
groups: 3 – 6 and 6 – 12 months old and 71% in the
oldest group of children – above 1 year of age.
Conclusions: In majority of children the
nasolacrimal duct obstruction did not resolve
spontaneously. Early probing within first few months of
child’s life increased the success rate of this
procedure. |
| Słowa kluczowe: |
wrodzona niedrożność dróg
łzowych, niemowlęta, płukanie i sondowanie dróg łzowych. |
| Key words: |
congenital nasolacrimal
duct obstruction, infants, nasolacrimal duct probing. |
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