RESUMEN
Background: Congenital Nasolacrimal Duct Obstruction (NLDO) affects 1% to 20% of infants. The non-surgical treatment includes lacrimal sac massage, whereas some cases need surgical intervention. The present study was conducted to prove that maximum number of cases resolve within six months of non-surgical management in infants aged new born to one year. Methods: This is a prospective and observational study in which 319 infants suffering from Congenital Nasolacrimal Duct Obstruction were treated with lacrimal sac massage and topical antibiotics. The symptoms of the patient were assessed after six months of treatment. Results: In infants new born to 8 months of age (233 eyes), more than 50% with NLDO will resolve within 6 months with non-surgical management. Conclusion: So the experience of rate of NLDO resolution in infancy without surgery will help clinician and parents effectively discuss treatment options.
RESUMEN
The aim of the study was to compare the outcome of external DCR with and without stenting with silicon tube and analyse the results of silicon intubation whether it improves the overall success rate of DCR. Success rate for external DCR without STI was 80% in our study .Success rate for DCR with STI rose to 92%.Therefore DCR with STI is a highly successful procedure with a success rate of over 90%.Using the ST is a fairly simple procedure and takes just a few minutes to intubate the anastamosis.By using the ST the commonest cause of failure ie the closure of common canalicular opening is prevented thereby enhancing the success rate of DCR.External DCR still is a preferred modality of treating CDC as compared to Endoscopic DCR or Laser DCR, having a much better rate of success over these procedures.