Treatment of congenital nasolacrimal duct obstruction with high-pressure irrigation under topical anesthesia

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dc.authorid0000-0002-7614-5690
dc.authorid0000-0003-2039-9461
dc.contributor.authorAlagöz, Gürsoy
dc.contributor.authorSerin, Didem
dc.contributor.authorÇelebi, Serdal
dc.contributor.authorKükner, Şahap
dc.contributor.authorElçioğlu, Mustafa
dc.contributor.authorGüngel, Hülya
dc.date.accessioned2021-06-23T19:18:09Z
dc.date.available2021-06-23T19:18:09Z
dc.date.issued2005
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: To evaluate the effectiveness, safety, and success rate of high-pressure irrigation (HPI) applied under topical anesthesia in outpatient treatment of congenital nasolacrimal duct obstruction. Methods: HPI was applied under topical anesthesia to 39 eyes of 32 consecutive patients with congenital nasolacrimal duct obstruction. If obstructive symptoms persisted after the first attempt, treatment was repeated within 1 month. Patients were divided in two age groups: 7 to 12 months and 12 to 18 months. The two groups were compared in terms of the number of attempts needed to resolve the obstruction. Results: Thirty-nine eyes that had failed conservative treatment underwent high-pressure irrigation. The overall success rate was 31 of 39 (79.48%) at the first attempt; complete success (8/8, 100%) was achieved at the second attempt. The success rate in the younger group was 18 of 22 (81.8%) at the first attempt and 4 of 4 (100%) at the second attempt. The success rate in the older group was 13 of 17 (76.5%) at the first attempt and 4 of 4 (100%) at the second attempt. There was no statistically significant difference between the two groups regarding the number of attempts needed to relieve the symptoms (p > 0.05). There was no statistically significant difference in massage times and age between cases resolved at the first and second attempts (p > 0.05). Conclusions: HPI can be attempted as an alternative second-step treatment or as a transition procedure between conservative and invasive methods. HPI has the advantage of being less invasive than other secondary methods, and its application under topical anesthesia seems to be safe and effective.en_US
dc.identifier.doi10.1097/01.iop.0000183472.59203.48
dc.identifier.endpage426en_US
dc.identifier.issn0740-9303
dc.identifier.issn1537-2677
dc.identifier.issue6en_US
dc.identifier.pmid16304518en_US
dc.identifier.startpage423en_US
dc.identifier.urihttps://doi.org/10.1097/01.iop.0000183472.59203.48
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5655
dc.identifier.volume21en_US
dc.identifier.wosWOS:000233573400004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAlagöz, Gürsoy
dc.institutionauthorSerin, Didem
dc.institutionauthorÇelebi, Serdal
dc.institutionauthorKükner, Şahap
dc.institutionauthorElçioğlu, Mustafa
dc.institutionauthorGüngel, Hülya
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofOphthalmic Plastic And Reconstructive Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTopical Anesthesiaen_US
dc.subjectTreatment
dc.subjectNasolacrimal
dc.subjectIrrigation
dc.titleTreatment of congenital nasolacrimal duct obstruction with high-pressure irrigation under topical anesthesiaen_US
dc.typeArticleen_US

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