Congenital Nasolacrimal Duct Obstruction
Conditions
Keywords
Endodiathermy Probe and Intubation Versus Intubation Only
Brief summary
The purpose of the current work is to assess the efficiency and success rate of endodiathermy probe followed by intubation in children more than 2 years compared to the success rate of intubation (as a standard method) which varies from 75% to 85% in several studies
Detailed description
The study will be conducted on children above 2 year and will be divided randomly into two groups: Group (I): 80 eyes of children suffer from congenital nasolacrimal duct obstruction will have probing with metal probe and then intubation with bicanlicular silicon tube. Group (II): 80 eyes of children suffer from congenital nasolacrimal duct obstruction will have probing with endodiathermy probe and then intubation with bicanlicular silicon tube
Interventions
children suffer from congenital nasolacrimal duct obstruction will have probing with endodiathermy probe and then intubation with bicanlicular silicon tube
Sponsors
Study design
Masking description
all will be know the surgical procedure but participant will know only that he will be treated but cant understand type of procedure done
Intervention model description
Group (I): 80 eyes of children suffer from congenital nasolacrimal duct obstruction will have probing with metal probe and then intubation with bicanlicular silicon tube. Group (II): 80 eyes of children suffer from congenital nasolacrimal duct obstruction will have probing with endodiathermy probe and then intubation with bicanlicular silicon tube.
Eligibility
Inclusion criteria
1. Children in the age group above 2 years old 2. No history of previous probing. 3. No history of previous intubation. 4. Children with no any other association or congenital anomalies cause watery eye. 5. children suffer from congenital nasolacrimal duct obstruction.
Exclusion criteria
1. children less than 2 years old. 2. previous probing. 3. previous intubation. 4. children with any other congenital anomalies as congenital ectropion , congenital entropion 5. children suffer from any upper lacrimal anomalies as obstruction or stenosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recanalization of nasolacrimal duct | 6 months | compare the efficiency of endodiathermy probe followed by intubation versus probing with metal probe followed by intubation by 1. epiphora (overflow of tears onto the face) 2. increase tear film meniscus ( more than 1mm in height) 3. mucous discharge 4. Fluorescein disappearance test (Normally, little or no dye remains after 5 minutes. Prolonged retention is indicative of inadequate lacrimal drainage) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complication | 6 months | Record any complication in two procedures as tube migration, tube extrusion, infection or need for additional procedure. |
Countries
Egypt