Abstract：
:The purpose of this study was to report various conditions masquerading as congenital nasolacrimal duct obstruction (CNLDO). Retrospective review was designed in a tertiary hospital setting. 92 eyes of 65 consecutive patients were included in this study. All patients presenting with CNLDO symptomatology but where the diagnosis of CNLDO was subsequently ruled out were included in the study. The study patients were recruited from a single surgeon's (MJA) tertiary eye care practice over a 3-year period from 2011 to 2013. A detailed clinical evaluation and a further lacrimal system evaluation were performed under general anesthesia. The main outcome measure was other lacrimal and nasal conditions masquerading as CNLDO. Average age at presentation was 43.49 ± 31.78 months. All cases had symptoms of either watering or discharge with an increase tear meniscus or abnormal fluorescein dye disappearance test. The commonest masquerades of congenital nasolacrimal duct obstruction include incomplete punctal canalisation (27.2 %), functional epiphora (14.1 %), punctal agenesis (14.1 %), monocanalicular obstructions (10.8 %), and presaccal stenosis (8.7 %). Each masquerade was managed specifically and at the last follow-up of 5.85 ± 10.85 months, 63 % eyes (58/92) had no epiphora and 2.2 % (2/92) eyes had occasional epiphora. Parents of patients with punctal agenesis were counseled for option of conjunctivodacryocystorhinostomy in future. Incomplete punctal canalisation is the commonest masquerade among many conditions that may mimic CNLDO and mandates a careful evaluation. Specific management of each masquerade results in satisfactory outcomes.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Kamal S,Ali MJ,Gupta A,Naik MNdoi
10.1007/s10792-015-0050-1subject
Has Abstractpub_date
2015-12-01 00:00:00pages
807-10issue
6eissn
0165-5701issn
1573-2630pii
10.1007/s10792-015-0050-1journal_volume
35pub_type
杂志文章abstract：:I have developed two protective caps that fit on the viewing windows of the indirect ophthalmoscope. These caps contain filters that absorb the argon laser beam and protect the operator's eyes during endolaser treatment. ...
journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：1986-04-01 00:00:00
abstract：:To determine changes in choroidal thickness in patients with central serous chorioretinopathy (CSCR) during the first 3 months after initial diagnosis and assess variable therapeutic interventions via enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT). In this prospective study, choroidal th...
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pub_type： 杂志文章,随机对照试验
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journal_title：International ophthalmology
pub_type： 杂志文章
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journal_title：International ophthalmology
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pub_type： 临床试验,杂志文章
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journal_title：International ophthalmology
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journal_title：International ophthalmology
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journal_title：International ophthalmology
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更新日期：1987-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：1991-05-01 00:00:00
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更新日期：2016-02-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2019-11-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00159865
更新日期：1990-07-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：1992-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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