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IP International Journal of Ocular Oncology and Oculoplasty


Role of office sac massage for congenital nasolacrimal duct obstruction in various age-groups


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Author Details: Nishith Panwar, Vimlesh Sharma, Kalpana Kumari

Volume : 2

Issue : 2

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 106

Article End Page : 108


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