Hetal Marfatia1, Keya Shah2, Swapna Patil1, Yogesh Parmar1. 1. Department of ENT, Seth G.S. Medical College and KEM Hospital, Mumbai, India. 2. Department of ENT, Seth G.S. Medical College and KEM Hospital, Mumbai, India. Electronic address: keyashah9085@gmail.com.
Abstract
INTRODUCTION: Epiphora affects approximately 20% neonates, but most resolve spontaneously. Dacryocystorhinostomy (DCR) is indicated only when conservative management fails. OBJECTIVE: To observe clinical presentation, treatment modalities and effectiveness of endoscopic DCR in paediatric population. METHODS: It is a prospective study of 21 children done at our tertiary care hospital from 2011 to 2016. All were initially subjected to a trial of conservative management. Those that responded and didn't require surgery were excluded. RESULTS: The age group ranged from 40 days to 11.5 years. 19 underwent unilateral & 2 underwent bilateral endoscopic DCR. After a 6 month follow-up, 20 children were benefitted by surgery, 2 had an incomplete resolution and 1 required revision surgery. The overall success rate was 95.23% and failed cases were mainly due to post-traumatic distortion of the anatomy. No major complications were noted. CONCLUSION: Endoscopic DCR is safe and effective in children presenting with persistent epiphora.
INTRODUCTION: Epiphora affects approximately 20% neonates, but most resolve spontaneously. Dacryocystorhinostomy (DCR) is indicated only when conservative management fails. OBJECTIVE: To observe clinical presentation, treatment modalities and effectiveness of endoscopic DCR in paediatric population. METHODS: It is a prospective study of 21 children done at our tertiary care hospital from 2011 to 2016. All were initially subjected to a trial of conservative management. Those that responded and didn't require surgery were excluded. RESULTS: The age group ranged from 40 days to 11.5 years. 19 underwent unilateral & 2 underwent bilateral endoscopic DCR. After a 6 month follow-up, 20 children were benefitted by surgery, 2 had an incomplete resolution and 1 required revision surgery. The overall success rate was 95.23% and failed cases were mainly due to post-traumatic distortion of the anatomy. No major complications were noted. CONCLUSION: Endoscopic DCR is safe and effective in children presenting with persistent epiphora.
Authors: Mustafa Doğan; Anar Alizada; Güliz Fatma Yavaş; Orhan Kemal Kahveci; Osman Bakan Journal: Int J Ophthalmol Date: 2018-10-18 Impact factor: 1.779