Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Burak Ulaş; Altan Özcan; Merve Ademoğlu

Makale detayları

Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Yazarlar:

Burak Ulaş | Altan Özcan | Merve Ademoğlu

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 1, pp.101-108

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282235

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: To evaluate the effectiveness of probing surgery in patients with congenital nasolacrimal duct obstruction CNLDO according to application time and age groups. Materials and Methods: In this retrospective study, patients with CNLDO who were followed up at Cukurova University Faculty of Medicine between 2012 and 2022 were evaluated. One hundred thirteen eyes of 90 patients with CNLDO were included in the study. The fluorescein dye disappearance test was used to evaluate the diagnosis and treatment success. The demographic characteristics of the patients and the success of the surgeries were recorded. Results: Considering the first probing surgical time, our success rates according to age groups were as follows: 0-12 months n10 100, 12-18 months n29 86.2, 18-24 months n24 87.5, 24-36 months n24 79.2, 36-48 months n14 57.1, and 66.7 in patients aged 48 months and older n12. When our entire patient group was evaluated regarding success before and after age 2 years, the rate was 88.9 in patients younger than 24 months n63, and 70 in patients aged 24 months and older n50. Conclusion: In our study, the most successful age ranges for probing surgery were found as 0-12 months, 12-18 months, and 18-24 months. Probing surgery should be performed for patients with congenital nasolacrimal duct obstruction before the age of 2 years because the success rates decreased in patients older than 2 years in our study.

 Purpose: To evaluate the effectiveness of probing surgery in patients with congenital nasolacrimal duct obstruction CNLDO according to application time and age groups. Materials and Methods: In this retrospective study, patients with CNLDO who were followed up at Cukurova University Faculty of Medicine between 2012 and 2022 were evaluated. One hundred thirteen eyes of 90 patients with CNLDO were included in the study. The fluorescein dye disappearance test was used to evaluate the diagnosis and treatment success. The demographic characteristics of the patients and the success of the surgeries were recorded. Results: Considering the first probing surgical time, our success rates according to age groups were as follows: 0-12 months n10 100, 12-18 months n29 86.2, 18-24 months n24 87.5, 24-36 months n24 79.2, 36-48 months n14 57.1, and 66.7 in patients aged 48 months and older n12. When our entire patient group was evaluated regarding success before and after age 2 years, the rate was 88.9 in patients younger than 24 months n63, and 70 in patients aged 24 months and older n50. Conclusion: In our study, the most successful age ranges for probing surgery were found as 0-12 months, 12-18 months, and 18-24 months. Probing surgery should be performed for patients with congenital nasolacrimal duct obstruction before the age of 2 years because the success rates decreased in patients older than 2 years in our study.

 Purpose: To evaluate the effectiveness of probing surgery in patients with congenital nasolacrimal duct obstruction CNLDO according to application time and age groups. Materials and Methods: In this retrospective study, patients with CNLDO who were followed up at Cukurova University Faculty of Medicine between 2012 and 2022 were evaluated. One hundred thirteen eyes of 90 patients with CNLDO were included in the study. The fluorescein dye disappearance test was used to evaluate the diagnosis and treatment success. The demographic characteristics of the patients and the success of the surgeries were recorded. Results: Considering the first probing surgical time, our success rates according to age groups were as follows: 0-12 months n10 100, 12-18 months n29 86.2, 18-24 months n24 87.5, 24-36 months n24 79.2, 36-48 months n14 57.1, and 66.7 in patients aged 48 months and older n12. When our entire patient group was evaluated regarding success before and after age 2 years, the rate was 88.9 in patients younger than 24 months n63, and 70 in patients aged 24 months and older n50. Conclusion: In our study, the most successful age ranges for probing surgery were found as 0-12 months, 12-18 months, and 18-24 months. Probing surgery should be performed for patients with congenital nasolacrimal duct obstruction before the age of 2 years because the success rates decreased in patients older than 2 years in our study.

 Amaç: Bu çalışmada konjenital nazolakrimal kanal tıkanıklığı olan olgularda sondalama cerrahisinin uygulama zamanı ve yaş gruplarına göre etkinliğinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif, kesitsel çalışmada Çukurova Üniversitesi Tıp Fakültesinde 2012-2022 yılları arasında takip edilen konjenital nazolakrimal kanal tıkanıklığı olan hastalar dahil edildi. Çalışmaya konjenital nazolakrimal kanal tıkanıklığı olan 90 hastanın 113 gözü alındı. Diffüzyon göllenme testi tanı ve tedavi başarısının değerlendirilmesi amacıyla kullanıldı. Çalışmamızda hastaların demografik özellikleri, operasyon öncesi ve sonrası diffüzyon göllenme testi sonuçları ile operasyon başarısı kaydedildi. Bulgular: İlk sondalama probing uygulama zamanına bakılarak yaş gruplarına göre başarı oranlarımız; 0-12. ay 100 n:10, 12-18. ay: 86,2 n:29, 18-24. ay: 87,5n:24, 24-36. ay: 79,2n:24, 36-48. ay: 57,1 n:14, 48 ay ve üzeri hastalarda 66,7 n:12 olarak bulundu. Tüm hasta grubumuz 2 yaş öncesi ve sonrası olarak değerlendirildiğinde 24 aydan küçük olgularda başarı oranımız 88,9 n:56, 24 ay ve üzeri olgularda başarı oranımız 70 n:35 olarak izlendi, bu fark istatistiksel olarak anlamlı idi. Sonuç: Çalışmamızda sondalama cerrahisi uygulanan en başarılı bulunan yaş aralığı 0-12 ay, 12-18 ay ve 18-24 ay olarak bulunmuş ve 2 yaş üzeri yaş gruplarında başarı oranı düştüğü izlenmiştir. Çalışmamızda 2 yaşından büyük hastalarda başarı oranlarının düştüğü gözlendiğinden, doğumsal nazolakrimal kanal tıkanıklığı tanısı alan hastalarda çok fazla geciktirilmeden sondalama cerrahisinin en geç 2 yaşına kadar yapılması gerektiği düşünülmüştür.

Makale detayları

Comparison of success rates of probing surgery in congenital nasolacrimal duct obstruction by age range

Yazarlar:

Burak Ulaş | Altan Özcan | Merve Ademoğlu

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 1, pp.101-108

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282235

pISSN:

2602-3032

Congenital nasolacrimal duct obstruction

probing

epiphora

konjenital nazolakrimal kanal tıkanıklığı

sondalama

probing

epifora

Sayı

Makale detayları

Yazarlar: Burak Ulaş | Altan Özcan | Merve Ademoğlu

Yayıncı: Cukurova University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Cukurova Medical Journal Vol.48 Issue 1, pp.101-108

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001282235

pISSN: 2602-3032

Sayı

Yazarlar:

Burak Ulaş | Altan Özcan | Merve Ademoğlu

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 1, pp.101-108

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282235

pISSN:

2602-3032