A comparison of treatment approaches for bilateral congenital nasolacrimal duct obstruction.

ABSTRACT:

Purpose

To compare the clinical outcomes of two treatment approaches for bilateral nasolacrimal duct obstruction (NLDO) in infancy.

Design

Multicenter, randomized clinical trial.

Methods

We studied 57 infants between the ages of 6 and <10 months who had bilateral NLDO. Participants were randomized to receive either (1) immediate office-based probing within two weeks (n = 31) or (2) 6 months of observation and nonsurgical management followed by surgical facility-based probing for unresolved cases (n = 26). Treatment success was defined as the absence of clinical signs of NLDO (epiphora, increased tear lake, mucous discharge) in both eyes on masked examination at 18 months of age.

Results

In the observation and deferred facility probing group, resolution without

SUBMITTER: Lee KA 

PROVIDER: S-EPMC3805692 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature