Congenital nasolacrimal duct obstruction: Clinical, microbiological and management in a tertiary health care centre in central India- A descriptive study
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 2
Abstract
Introduction Congenital nasolacrimal duct has accounts for 6 of newborn infants with various treatment Microbiological studies to identify the type of species involved in Lacrimal Sac infection secondary to Congenital Nasolacrimal Duct Obstruction CNLDO have been extensively repostedAims and Objective to assess microorganisms causing congenital nasolacrimal duct obstruction To see efficacy of probing as compared to silastic intubationMaterials and Methods A total 100 patients were enrolled in the study The patients came with epiphora and mucous discharge Inclusion criteria for the study was patients presenting with CNLDO Presence of atleast one sign of NLDO Epiphora increased tear lake andor mucopurlent discharge Age upto 9 yearsExclusion Criteria Punctual or canalicular abnormality Ho previous surgery Ho faciomaxillary trauma cleft lip cleft palate or any facial deformity acute dacryocystitis previous history of probing Sample size was 100 patientsResults Haemophilus influenzae and streptococcus pneumonia were the most common microorganisms n 56 405 n 37 268 respectively followed by moraxella catarrhalis n19 137 staphylococcus aureus n17 123 pseudomonas aeruginosa n9 065Discussion Congenital nasolacrimal duct obstruction results in stagnation of fluid within the lacrimal sac area which causes secondary bacterial infection The prevalence of CNLDO with no growth shows the sole effect of congenital anomaly on the degree of tightnessConclusion The mocobiological study of CNLDO may have a value in predicting the obstructionKeywords Acute dacryocystitis Congenital nasolacrimal duct Obstruction
Authors and Affiliations
Piyush Madan, Sachin Daigavane
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