Muhammad Anwar Chaudhary, Muhammad Imran, Syed Ahmer Hussain.
Success Rate of Probing and Syringing at Different age Groups at Nishtar Hospital Multan.
Esculapio J Services Inst Med Sci Jan ;15(1):34-7.

Objective: The objective of this study was to determine the efficacy of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction (CNLDO) patients of various age groups. It was descriptive Case Series. Methods: In this study, Two hundred and forty six patients of either gender or >= one year of age with Congenital Nasolacrimal Duct Obstruction were included in this study. Demographic details from all the patients in terms of age and gender were recorded. The probing was done under general anesthesia, in stepwise manner using Bowman`s probe size 00, followed by probes size 0, then 1, 2, 3.The patients were visited at 2 weeks, and 3 and 6 months postoperatively. Successful probing was documented as complete remission of watering and discharge together with no reflux from with lacrimal sac pressure two weeks after the procedure. Results: Age range in this study was >= one year with mean age of 6.804 +- 5.56 years. Majority of patients according to age groups were belongs to 1-5 years125 (50.8%).Frequency and percentage of patients according to gender was 102(41.46%) males and 144(58.54%) females. The overall success rate of probing was seen in 173(70.3%) patients. Success rate was significantly better in 1-5 years age group which gradually decline as age increased (p=0.000). Conclusion: Probing and Syringing has remained the best and time-tested procedure for the treatment of congenital NLD obstruction under General Anaesthesia. The best time is between 1 to 5 years of age.

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