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Journal of AAPOS : the Official... Dec 2014Measurement of intraocular pressure (IOP) in children is important in the management of pediatric glaucoma. Availability of the Icare rebound tonometer has greatly...
Measurement of intraocular pressure (IOP) in children is important in the management of pediatric glaucoma. Availability of the Icare rebound tonometer has greatly facilitated our ability to obtain awake IOP in infants and children, but little has been reported on either the effect of repeated sequential IOP measurements with Icare or the effect of topical anesthetic on subsequent Icare tonometry. This prospective study of 20 eyes of 10 cooperative children (12 normal eyes, 8 with suspected or known glaucoma) found that neither 8 sequential Icare measurements nor application of topical anesthetic produced a statistically or clinically signficant change in measured IOP by rebound tonometry.
Topics: Adolescent; Anesthesia, Local; Anesthetics, Local; Child; Female; Glaucoma; Healthy Volunteers; Humans; Intraocular Pressure; Male; Propoxycaine; Prospective Studies; Tonometry, Ocular
PubMed: 25448141
DOI: 10.1016/j.jaapos.2014.07.167 -
Pediatrics and Neonatology Dec 2015To report the success rates of office probing for congenital nasolacrimal duct obstruction (NLDO) among children of different age groups in Taiwan.
BACKGROUND
To report the success rates of office probing for congenital nasolacrimal duct obstruction (NLDO) among children of different age groups in Taiwan.
METHODS
In this single-center, retrospective study, 564 eyes of 477 patients under the age of 5 years diagnosed with congenital NLDO were treated in a stepwise manner between 2001 and 2013. For infants aged < 6 months, treatment with massage and observation was suggested, followed by deferred probing under topical anesthesia if symptoms persisted. However, in cases of severe infection, immediate probing was suggested. In children aged > 6 months, office probing was usually highly recommended. Those with probing failures received either a second probing or silicone intubation. Treatment success was defined as anatomic patency by immediate irrigation after probing and absence of epiphora or mucous discharge at the follow-up visit.
RESULTS
Primary probing was successful in 457 of 564 eyes (success rate: 81%). The success rate of primary probing was negatively correlated with increasing age: 90.1% (163/181), 79.6% (164/206), 76.8% (73/95), 73.5% (36/49), 75% (18/24), and 33% (3/9) for the age groups of 0 to <6 months, 6 to <12 months, 12 to <18 months, 18 to <24 months, 24 to <36 months, and 36-60 months, respectively (p < 0.001, Fisher's exact test). The second probing was successful in 52 of 81 eyes. In total, probing was successful in 509 of 564 eyes (success rate: 90.2%).
CONCLUSION
Office probing is safe and effective for treating congenital NLDO. The success rate of primary probing decreases significantly with age.
Topics: Age Factors; Ambulatory Surgical Procedures; Anesthetics, Local; Child, Preschool; Dacryocystorhinostomy; Female; Humans; Infant; Infant, Newborn; Lacrimal Duct Obstruction; Male; Nasolacrimal Duct; Propoxycaine; Retrospective Studies; Taiwan
PubMed: 26026949
DOI: 10.1016/j.pedneo.2015.04.001