Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/61660
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dc.contributor.authorTakahashi, Y.en
dc.contributor.authorKakizaki, H.en
dc.contributor.authorChan, W.en
dc.contributor.authorSelva-Nayagam, D.en
dc.date.issued2010en
dc.identifier.citationActa Ophthalmologica, 2010; 88(5):506-513en
dc.identifier.issn1755-375Xen
dc.identifier.issn1755-3768en
dc.identifier.urihttp://hdl.handle.net/2440/61660-
dc.description.abstractOur review aims to provide an update of management protocols for congenital nasolacrimal duct obstruction (CNDO). Although early probing performed before the age of 1 year was traditionally recommended, many reports have since confirmed high frequencies of spontaneous resolution during the first year of life. Accordingly, a 'wait-and-see' approach, combined with conservative therapies, is judged to be the best option in infants aged<1 year. By contrast, persistent obstruction beyond 1 year of age warrants probing as a first-line interventional therapy. However, the optimal timing for probing remains controversial. Although there remains a high possibility of spontaneous resolution after the first year of age, this must be balanced against the decrease in success rates for probing that accompanies advancing age. If conservative management fails, persistent CNDO beyond 1 year of age should be managed either by further observation or by primary probing according to the severity of symptoms. In patients in whom probing fails, advanced treatment such as balloon catheter dilation, silicone tube intubation or dacryocystorhinostomy may be considered.en
dc.description.statementofresponsibilityYasuhiro Takahashi, Hirohiko Kakizaki, Weng O. Chan and Dinesh Selvaen
dc.language.isoenen
dc.publisherWiley-Blackwell Munksgaarden
dc.rights© 2009 The Authors. Journal compilation © 2009 Acta Ophthalmolen
dc.subjectcongenital nasolacrimal duct obstruction; conservative treatment; primary probing; spontaneous resolution; surgical interventionen
dc.titleManagement of congenital nasolacrimal duct obstructionen
dc.typeJournal articleen
dc.identifier.doi10.1111/j.1755-3768.2009.01592.xen
pubs.publication-statusPublisheden
dc.identifier.orcidSelva-Nayagam, D. [0000-0002-2169-5417]en
Appears in Collections:Opthalmology & Visual Sciences publications

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