Durrani Jahanzeb
Ophthalmology, Hazrat Bari Sarkar Medical and Dental College Hospital, Islamabad.
J Coll Physicians Surg Pak. 2017 Mar;27(3):145-148.
To determine the success rate of non-surgical management of congenital nasolacrimal duct obstruction (CNLDO) with Crigler massage in infants below the age of one year.
A cross-sectional observational study.
Department of Ophthalmology at HBS General Hospital, Hazrat Bari Sarkar Medical and Dental College, Islamabad from November 2015 to May 2016.
One hundred children with watering of eyes, due to congenital blockage of the distal part of the nasolacrimal duct (at the valve of Hasner), unilateral or bilateral were included in the study. Initially, Crigler massage was advised to all the parents for a period of 1-3 months with practical demonstration and the results were documented every fortnight.
There were 52 infants up to the age of 6 months and 48 infants between 6-12 months, 53% were boys and 47% were girls. Among them, 67% had unilateral complain while 33% were bilaterally affected. At the end of 1-3 months, 90% of the children achieved patency and only 10% of the cases were subjected to Bowman's probing under short anesthesia.
CNLDO mostly resolved through conservative approach by Crigler massage as an initial management, if done consistently. Probing and other surgical procedures should not be considered before the age of 12 months.
确定对1岁以下婴儿采用克里格勒按摩法非手术治疗先天性鼻泪管阻塞（CNLDO）的成功率。
一项横断面观察性研究。
2015年11月至2016年5月，位于伊斯兰堡哈扎特·巴里·萨卡尔医学与牙科学院的HBS综合医院眼科。
100名因鼻泪管远端（哈氏瓣膜处）先天性阻塞而出现单侧或双侧流泪的儿童纳入研究。最初，向所有家长建议进行为期1至3个月的克里格勒按摩，并进行实际示范，每两周记录一次结果。
52名婴儿年龄在6个月以下，48名婴儿年龄在6至12个月之间，53%为男孩，47%为女孩。其中，67%有单侧症状，33%为双侧受累。在1至3个月结束时，90%的儿童鼻泪管通畅，只有10%的病例在短时间麻醉下接受了鲍曼探通术。
如果持续进行，CNLDO大多可通过克里格勒按摩这种保守方法作为初始治疗得到解决。在12个月龄之前不应考虑探通术和其他外科手术。
