.: OKULISTYKA :.

Wydanie 4/2012
str. 45

Leczenie wrodzonej niedrożności dróg łzowych u dzieci

Treatment of Congenital Nasolacrimal Duct Obstruction in Children

Bogumiła Wójcik-Niklewska, Tomasz Wilczyński, Erita Filipek, Maria Formińska-Kapuścik, Ewa Pieczara, Lidia Nawrocka, Aleksandra Zielińska

Oddział Okulistyki Dziecięcej Samodzielnego Publicznego Szpitala Klinicznego Nr 5 Śląskiego Uniwersytetu Medycznego w Katowicach
Klinika Okulistyki Dziecięcej Katedry Okulistyki Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Maria Formińska-Kapuścik

Summary: Objective: Evaluation of nasolacrimal duct probing effectiveness in children with congenital nasolacrimal duct obstruction symptoms.
Material and Methods: The data on probing procedures conducted in our hospital within the last 24 months have been collected. The analysis comprised 677 eyes in 636 children at the average age of 7.5 months, in whom nasolacrimal duct irrigation and probing were performed due to its’ congenital obstruction. Before the treatment all children underwent pediatric and aenesthesiological screening. The probing was conducted in topical anasthesia in the operating theatre. After probing the lacrimal duct its’patency was tested through the superior duct.
Results: In the treated group of 677 eyes, success has been achieved in 597 eyes (88.2%), in 80 cases (11.8%) patiens required another treatment due to negative results of patency testing. After reprobing the lacrimal duct patency was restored in all children.
Conclusions: Lacrimal duct probing is an effective method of congenital nasolacrimal duct obstruction treatment in children from 3 to 7 months of age.

Słowa kluczowe: wrodzona niedrożność dróg łzowych, sondowanie dróg łzowych, dzieci.

Keywords: congenital nasolacrimal duct obstruction, lacrimal duct probing, children.

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