Abstract :
Purpose: To determine the success rate of hydrostatic office sac massage for congenital nasolacrimal duct obstruction (CNDLO) in various age groups.
Methods: 72 eyes of 65 patients aged 2 to 36 months diagnosed with CNDLO were included and divided into 6 groups; 2-4 months, group 2: 5-6 months, group 3: 7-12 months, group 4: 13-18 months, group 5: 19-24 months and group 6: 24-36 months. Office sac massage was done and patient was followed up at regular intervals upto three months. Successful procedure was documented as complete remission of symptoms in subsequent visits following the procedure.
Results: Overall success rate of sac massage was 79.1%. Success rate was high in lower age groups (100% in group 1, 95.6% in group 2, 83.3% in group 3, 72.7% in group 4) and lower in higher age groups (33.3% in group 5 and group 6 respectively).
Conclusion: Hydrostatic office sac massage is an effective conservative treatment for CNDLO, especially in lower age groups. Success rate of the procedure declines in higher age groups and results in subsequent surgical intervention.
Keyword :
Sac Massage, Nasolacrimal duct, CNLDO, Hydrostatic, Probing