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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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SCImago Journal & Country Rank
4/2010
vol. 112
 
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abstract:
Review article

Nasolacrimal duct disorders in children. Part I. Anatomy, physiology and clinical signs

Danuta Sielicka
1
,
Małgorzata Mrugacz
1
,
Alina Bakunowicz-Łazarczyk
1

  1. Z Kliniki Okulistyki Dziecięcej z Ośrodkiem Leczenia Zeza Uniwersyteckiego Dziecięcego Szpitala Kliniczny w Białymstoku.
Online publish date: 2010/12/22
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Congenital nasolacrimal duct obstruction (CLDO) is considered as common and onerous disorder present at infancy. Over 5% of infants have CLDO affecting one or both eyes.

The symptoms of CLDO appear shortly after birth or during the first weeks of life. The main symptoms are: excessive and persistent watering, ropy mucous discharge in the conjunctival sac. In conservative treatment a lacrimal sac massage is proposed,

though it is not always successful. Topical antibiotics are reserved only if secondary conjunctivitis occurs. Fortunately, most cases resolve spontaneously. However, sometimes nasolacrimal duct probing performed under local or general anesthesia is

necessary,
keywords:

epiphora, congenital duct obstruction, infants

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