Vagge Aldo, Ferro Desideri Lorenzo, Nucci Paolo, Serafino Massimiliano, Giannaccare Giuseppe, Lembo Andrea, Traverso Carlo Enrico
Eye Clinic of Genoa, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genova, 16132 Genova, Italy.
IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.
Diseases. 2018 Oct 22;6(4):96. doi: 10.3390/diseases6040096.
Congenital nasolacrimal duct obstruction (CNLDO) is a common condition causing excessive tearing or mucoid discharge from the eyes, due to blockage of the nasolacrimal duct system. Nasolacrimal duct obstruction affects as many as 20% children aged <1 year worldwide and is often resolved without surgery. Available treatment options are conservative therapy, including observation, lacrimal sac massage and antibiotics, and invasive therapy. Observation, combined with conservative options, seems to be the best option in infants aged <1 year. Meanwhile, in children aged >1 year, nasolacrimal probing successfully addresses most obstructions. However, the most favorable timing for probing remains controversial. To alleviate persistent epiphora and mucous drainage that is refractory to probing, repeat probing, silicone tube intubation, balloon catheter dilation or dacryocystorhinostomy can be considered as available treatment options. Our review aims to provide an update to CNDO management protocols.
先天性鼻泪管阻塞（CNLDO）是一种常见病症，由于鼻泪管系统堵塞，导致眼睛出现过多流泪或黏液性分泌物。鼻泪管阻塞在全球范围内影响多达20%的1岁以下儿童，且通常无需手术即可缓解。现有的治疗选择包括保守治疗，如观察、泪囊按摩和使用抗生素，以及侵入性治疗。观察结合保守治疗方法，似乎是1岁以下婴儿的最佳选择。同时，对于1岁以上的儿童，鼻泪管探通术能成功解决大多数阻塞问题。然而，探通的最佳时机仍存在争议。为缓解探通治疗无效的持续性溢泪和黏液引流，可考虑重复探通、硅胶管插管、球囊导管扩张术或泪囊鼻腔吻合术等现有治疗方法。我们的综述旨在更新先天性鼻泪管阻塞的管理方案。
