Infant Treatment of nasolacrimal duct obstruction.docVIP

 PAGE \* MERGEFORMAT 10 Infant Treatment of nasolacrimal duct obstruction Keywords: Infant Nasolacrimal duct Nasolacrimal duct obstruction in infants for common eye disease in infants, it was reported that about 6% of full-term infants and young children of the nasolacrimal duct has not been completely smooth [1], different treatment methods. Author from January 2002 to December 2006, using local massage, hollow probe washing, probing way to treatment of infantile nasal lacrimal duct obstruction 260 cases (305 eyes). Good results are reported below. 1 Data and methods 1.1 General Information 260 cases (305 eyes) are out-patient children, of which 215 cases of monocular, binocular 45 cases; male and 125 cases (145 eyes), female 135 cases (160 eyes); age 26d ~ 3 years 5 months, the average 6.7 months. 1.2 Treatment Children with newly diagnosed, the exclusion of other diseases of the eye, the line of conservative treatment, the Ministry of oppression lacrimal sac massage, pressure toward the direction of the nasal cavity, the power should not be too heavy. 2 ~ 3 times / d, massage drops of antibiotic eye drops, 3 to 4 weeks is not successful, the use made of the top of the needle 5 to open holes on both sides of a special smooth hollow probe, washing line treatment as soon as possible. Supine position to take in children from parents, kids a fixed body and limbs, nurses, children with both hands gripping the head two temporal side, the Ministry of flushing side outer canthal buy a gauze to prevent the flushing fluid into the ear canal. For preoperative ocular surface anesthesia, with lacrimal punctum dilator expansion of tears, and used syringes 5ml Gentamicin 20000 U extracted and saline 2ml. According to conventional methods from the point of tears into the lacrimal passage of small, little pressure washing, children frequently do swallow or choke out the liquid from the nasal cavity that had been smooth. If not smo