Pediatric nasolacrimal duct obstruction.

Abstract:

PURPOSE OF REVIEW:Review the current management for pediatric nasolacrimal duct obstruction and congenital dacryocele. RECENT FINDINGS:Early probing in the office, and probing beyond 1 year of age in a facility with general anesthesia are equally effective. Congenital nasolacrimal duct obstruction is associated with anisometropic amblyopia. Infants with unilateral dacryocele are at risk for developing a dacryocele on the unaffected side. SUMMARY:The decision to probe early in the office or continue medical management and probe beyond a year of age in a facility with a general anesthetic is at the discretion of the ophthalmologist. Failed probings should be treated in a facility under general anesthesia with a balloon catheter or intubation. Children with congenital nasolacrimal duct obstruction need to be followed to make certain they do not develop anisometropic amblyopia.

journal_name

Curr Opin Ophthalmol

authors

Schnall BM

doi

10.1097/ICU.0b013e3283642e94

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

421-4

issue

5

eissn

1040-8738

issn

1531-7021

journal_volume

24

pub_type

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