Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range
Yıl: 2023 Cilt: 48 Sayı: 1 Sayfa Aralığı: 101 - 108 Metin Dili: İngilizce DOI: 10.17826/cumj.1186079 İndeks Tarihi: 20-06-2023
Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range
Öz: Purpose: To evaluate the effectiveness of probing surgery in patients with congenital nasolacrimal duct obstruction (CNLDO) according to application time and age groups. Materials and Methods: In this retrospective study, patients with CNLDO who were followed up at Cukurova University Faculty of Medicine between 2012 and 2022 were evaluated. One hundred thirteen eyes of 90 patients with CNLDO were included in the study. The fluorescein dye disappearance test was used to evaluate the diagnosis and treatment success. The demographic characteristics of the patients and the success of the surgeries were recorded. Results: Considering the first probing surgical time, our success rates according to age groups were as follows: 0-12 months (n=10) 100%, 12-18 months (n=29) 86.2%, 18-24 months (n=24) 87.5%, 24-36 months (n=24) 79.2%, 36-48 months (n=14) 57.1%, and 66.7% in patients aged 48 months and older (n=12). When our entire patient group was evaluated regarding success before and after age 2 years, the rate was 88.9% in patients younger than 24 months (n=63), and 70% in patients aged 24 months and older (n=50). Conclusion: In our study, the most successful age ranges for probing surgery were found as 0-12 months, 12-18 months, and 18-24 months. Probing surgery should be performed for patients with congenital nasolacrimal duct obstruction before the age of 2 years because the success rates decreased in patients older than 2 years in our study.
Anahtar Kelime: Konjenital nazolakrimal kanal tıkanıklığında sondalama cerrahisinin yaş aralıklarına göre başarı oranlarının karşılaştırılması
Öz: Amaç: Bu çalışmada konjenital nazolakrimal kanal tıkanıklığı olan olgularda sondalama cerrahisinin uygulama zamanı ve yaş gruplarına göre etkinliğinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif, kesitsel çalışmada Çukurova Üniversitesi Tıp Fakültesi’nde 2012-2022 yılları arasında takip edilen konjenital nazolakrimal kanal tıkanıklığı olan hastalar dahil edildi. Çalışmaya konjenital nazolakrimal kanal tıkanıklığı olan 90 hastanın 113 gözü alındı. Diffüzyon göllenme testi tanı ve tedavi başarısının değerlendirilmesi amacıyla kullanıldı. Çalışmamızda hastaların demografik özellikleri, operasyon öncesi ve sonrası diffüzyon göllenme testi sonuçları ile operasyon başarısı kaydedildi. Bulgular: İlk sondalama (probing) uygulama zamanına bakılarak yaş gruplarına göre başarı oranlarımız; 0-12. ay %100 (n:10), 12-18. ay: %86,2 (n:29), 18-24. ay: %87,5(n:24), 24-36. ay: %79,2(n:24), 36-48. ay: %57,1 (n:14), 48 ay ve üzeri hastalarda %66,7 (n:12) olarak bulundu. Tüm hasta grubumuz 2 yaş öncesi ve sonrası olarak değerlendirildiğinde 24 aydan küçük olgularda başarı oranımız %88,9 (n:56), 24 ay ve üzeri olgularda başarı oranımız %70 (n:35) olarak izlendi, bu fark istatistiksel olarak anlamlı idi. Sonuç: Çalışmamızda sondalama cerrahisi uygulanan en başarılı bulunan yaş aralığı 0-12 ay, 12-18 ay ve 18-24 ay olarak bulunmuş ve 2 yaş üzeri yaş gruplarında başarı oranı düştüğü izlenmiştir. Çalışmamızda 2 yaşından büyük hastalarda başarı oranlarının düştüğü gözlendiğinden, doğumsal nazolakrimal kanal tıkanıklığı tanısı alan hastalarda çok fazla geciktirilmeden sondalama cerrahisinin en geç 2 yaşına kadar yapılması gerektiği düşünülmüştür.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Lekskul A, Preechaharn P, Jongkhajornpong P, Wuthisiri W. Age-specific outcomes of conservative approach and probing for congenital nasolacrimal duct obstruction. Clin Ophthalmol. 2022;16:1821-8.
- Petris C, Liu D. Probing for congenital nasolacrimal duct obstruction. Cochrane Database Syst Rew. 2017;7:CD011109.
- Farat JG, Schellini SA, Dib RE, Santos FGD, Meneghim RLFS, Jorge EC. Probing for congenital nasolacrimal duct obstruction: a systematic review and meta-analyses of randomized clinical trials. Arq Bras Oftalmol. 2021;84:91-8.
- Yang W, Shen L, Wang A, Li M, Yang C. Bacterial culture of tear duct infections secondary to congenital nasolacrimal duct obstructions. J Ophthalmol. 2022;2022:9954634.
- Sagiv OY, Nemet A, Achiron A, Neumann D, Tuuminen R, Spierer O. Outcomes of congenital nasolacrimal duct obstruction surgery converted into balloon dilation and silicone intubation due to probing difficulty. J Ophthalmol. 2022;4045789:1-6.
- Eshraghi B, Tehrani MJ, Tayebi F, Momenaei B. Monocanalicular intubation in children with incomplete complex congenital nasolacrimal duct obstruction older than five years of age. J Curr Ophthalmol. 2022;33:481-4.
- Nakayama T, Watanabe A, Rajak S, Yamanaka Y, Sotozono C. Congenital nasolacrimal duct obstructioncontinous trend for spontaneous resolution beyond first year of life. Br J Ophthalmol. 2020;104:116163.
- Bothra N, Bansal O, Sharma A, Ali MJ. Congenital nasolacrimal duct obsruction update study (CUP Study): Report III. Analysis of earlier failed probing without endoscopy guidance. Semin Ophthalmol. 2022;37:249-52.
- Swierczynska M, Tobicyzk E, Rodak P, Barchanowska D, Filipek E. Success rates of probing for congenital nasolacrimal duct obstruction at various ages. BMC Ophthalmol. 2020;20:403.
- Killedar M, Sasurkar P, Gokhale N, Shah M, Visapure R. Retrospective analysis of silicone intubation by Ritleng probe and Sutupak suture fixed in silicone tube in congenital nasolacrimal duct obstruction. Indian J Ophthalmol. 2021;69:209598.
- Lin AE, Chang YC, Lin MY, Tam KW, Shen YD. Comparison of treatment for congenital nasolacrimal duct obstruction: a systematic review and meta-analysis. Can J Ophthalmol. 2016;51:34-40.
- Muminovic I, Ryu WY, Lambert SR. Trends in congenital nasolacrimal duct obstruction surgical procedures in United States from 2003 to 2016. J AAPOS. 2021;25:354-6.
- Golash V, Harpreet K, Athwal S, Chakartash R, Laginaf M, Khandwala M. Management of congenital nasolacrimal duct obstruction: results of a national survey of paediatric and oculoplastic ophthalmologists. Eye(Lond). 2021;35:1930-6.
- Lee C, Jeong SM, Kim GJ, Joo EY, Song MH, Sa HS. Efficacy and safety of inhalation sedation durig Office probing for congenital nasolacrimal duct obstruction. J Clin Med. 2021;10:1800.
- Esgin H, Özgür S, Erda S. Doğumsal nazolakrimal kanal tıkanıklıklarında sondalama zamanı. Türkiye Klinikleri Oftalmoloji Dergisi. 1999;8:56-9.
- Erdol H, İmamoğlu HI, Aslan MF. Dört yaşından küçük çocuklarda konjenital nazolakrimal kanal tıkanıklığının tedavisi. Türkiye Klinikleri Oftalmoloji Dergisi. 1999;8:240-43.
- Zwaan J. Treatment of congenital nasolacrimal duct obstruction before and after the age of 1 year. Ophthalmic Surg Lasers. 1997;28:932-6.
- Kashkouli MB. Late and very late initial probing for congenital nasolacrimal duct obstruction.: what is cause of failure. Br J Ophthalmol. 2003;87:1151-3.
- Arora S, Koushan K, Harvey JT. Success rates of primary probing for congenital nasolacrimal obstruction in children. J AAPOS 2012;16:173-6.
| APA | ULAS B, Ozcan A, Ademoğlu M (2023). Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. , 101 - 108. 10.17826/cumj.1186079 |
| Chicago | ULAS Burak,Ozcan Altan Atakan,Ademoğlu Merve Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. (2023): 101 - 108. 10.17826/cumj.1186079 |
| MLA | ULAS Burak,Ozcan Altan Atakan,Ademoğlu Merve Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. , 2023, ss.101 - 108. 10.17826/cumj.1186079 |
| AMA | ULAS B,Ozcan A,Ademoğlu M Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. . 2023; 101 - 108. 10.17826/cumj.1186079 |
| Vancouver | ULAS B,Ozcan A,Ademoğlu M Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. . 2023; 101 - 108. 10.17826/cumj.1186079 |
| IEEE | ULAS B,Ozcan A,Ademoğlu M "Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range." , ss.101 - 108, 2023. 10.17826/cumj.1186079 |
| ISNAD | ULAS, Burak vd. "Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range". (2023), 101-108. https://doi.org/10.17826/cumj.1186079 |
| APA | ULAS B, Ozcan A, Ademoğlu M (2023). Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. Cukurova Medical Journal, 48(1), 101 - 108. 10.17826/cumj.1186079 |
| Chicago | ULAS Burak,Ozcan Altan Atakan,Ademoğlu Merve Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. Cukurova Medical Journal 48, no.1 (2023): 101 - 108. 10.17826/cumj.1186079 |
| MLA | ULAS Burak,Ozcan Altan Atakan,Ademoğlu Merve Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. Cukurova Medical Journal, vol.48, no.1, 2023, ss.101 - 108. 10.17826/cumj.1186079 |
| AMA | ULAS B,Ozcan A,Ademoğlu M Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. Cukurova Medical Journal. 2023; 48(1): 101 - 108. 10.17826/cumj.1186079 |
| Vancouver | ULAS B,Ozcan A,Ademoğlu M Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range. Cukurova Medical Journal. 2023; 48(1): 101 - 108. 10.17826/cumj.1186079 |
| IEEE | ULAS B,Ozcan A,Ademoğlu M "Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range." Cukurova Medical Journal, 48, ss.101 - 108, 2023. 10.17826/cumj.1186079 |
| ISNAD | ULAS, Burak vd. "Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range". Cukurova Medical Journal 48/1 (2023), 101-108. https://doi.org/10.17826/cumj.1186079 |
