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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2010 December;62(6):565-8


language: English

Surgical treatment of congenital nasolacrimal duct obstructions in Italy

Ricci B., Bamonte G., Ricci V.

Department of Ophthalmology, Columbus Association, Catholic University, Rome, Italy


AIM: The aim of this study to present the surgical treatments performed in Italy for congenital nasolacrimal duct obstruction.
METHODS: This was a retrospective review of the Ministry of Health database for groups aged 0-1 and 1-4 years from 1999 through 2005.
RESULTS: During the study period, a total of 9 081 surgical procedures was performed on children 0-4 years of age, 2 739 of which on infants under 1 year of age and 6 342 on children 1-4 year-old; 8 067 (88.8%) of these interventions were represented by nasolacrimal duct probing, 2 556 of which in infants under one year of age and 5 511 in the 1-4 year age group. Total number of the other surgical techniques was 984, 183 of which among infants younger than one year of age and 801 among children aged 1-4 years. The seven-year mean number of surgical treatments corresponds to a rate of 7.3/10 000 live births for infants <1 year old and 4.3/10 000 for children aged 1-4 years.
CONCLUSION: When congenital nasolacrimal duct obstructions do not improve spontaneously, probing resulted the more common surgical treatment performed. Our data are related exclusively to infantile inpatients and cases managed on an office basis are not included. Consequently, our figures cannot be considered indicative of the incidence of this pathology in Italy. However, the mean number per 10 000 of surgical procedures may represent, in our opinion, a useful indicator for the more severe forms of congenital lacrimal drainage system pathologies.

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