Journal review: Comparison of treatment for congenital nasolacrimal duct obstruction: a systematic review and meta-analysis
INTRODUCTION Congenital nasolacrimal duct obstruction (CNLDO) is one of the most common ocular disorders in infants, with an estimated prevalence rate of 20%. Clinical: Persistent epiphora Mucopurulent discharge Increase tear lake Treatment Massage of duct Probing (1 st line) Balloon dacryocystoplasty Silicone intubation
Introduction
Methods
Methods Inclusion Criteria Exclusion Criteria Randomized control trials & prospective study Patient age <10 years old Clear documentation of anesthesia & surgical technique used History of surgery aside from CNLDO Outcome of interest is not clearly reported Overlap among authors, centers or evaluated patient cohort
results
results Probing (Immediate vs Deferred) 82.7% (110/133) immediate probing 81.8% (99/121) deferred probing Balloon Dilation 79.8% (83/104) balloon dacryocystoplasty C ompared with 77.8% (87/ 112) of patients intubation
Systematic Analysis
DIScussion
Balloon Dacryocystoplasty vs Silicone Intubation
Monocanalicuar vs Bicanalicular Intubation
CONCLUSION
conclusion
Journal Title “ Comparison of Treatment for Congenital N asolacrimal D uct O bstruction: A S ystematic R eview and Meta-Analysis ” Publication : Canadian Opthalmological Society Published in 2015 by Elsevier Inc on behalf of the Canadian Ophthalmological Society. http:// dx.doi.org /10.1016/j.jcjo.2015.10.002 ISSN 0008-4182/16