PDF(Pubmed)
Abstract：
UNASSIGNED: Congenital nasolacrimal duct obstruction (CNLDO) is fairly common in newborns. The main aim of this cross-sectional study is to assess the preferred practice patterns of CNLDO among ophthalmologists in Jordan.
UNASSIGNED: This cross-sectional study was conducted across all ophthalmological practices in Jordan, using convenience sampling. An online questionnaire, designed through Google Forms, was distributed through social media. The survey contained four domains: baseline characteristics of participants and the diagnosis (7 items), medical management (3 items), and surgical management (11 items) of CNLDO. Descriptive statistics were conducted using SPSS (IBM SPSS Corp, SPSS Statistics ver. 26, USA).
UNASSIGNED: Eighty-three physicians responded to the survey, with an average age of 40.6 ± 8.6. More than half of the participants (53.0%, n = 44) were general ophthalmologists. Only 37.3% of our sample (n = 31) regularly evaluated the refraction of a child presenting with epiphora suggestive of CNLDO. Criggler\'s nasolacrimal duct massage was recommended by 62.7% of respondents (n = 52) for up to 12 months. In addition, 72.3% of respondents (n = 60) recommended 12 months as the minimum age for primary probing of CNLDO. Silicon intubation was considered for primary probing starting at 24 months by 31.3% of ophthalmologists (n = 20). Monocanalicular stent was preferred by 42.2% of respondents (n = 27) while 31.3% (n = 20) preferred bicanalicular stent.
UNASSIGNED: There is considerable variability in preferred practice patterns regarding the diagnosis and management of CNLDO in Jordan. Our findings highlight the gaps in optimum practices which need to be addressed for better management.
UNASSIGNED: This cross-sectional study was conducted across all ophthalmological practices in Jordan, using convenience sampling. An online questionnaire, designed through Google Forms, was distributed through social media. The survey contained four domains: baseline characteristics of participants and the diagnosis (7 items), medical management (3 items), and surgical management (11 items) of CNLDO. Descriptive statistics were conducted using SPSS (IBM SPSS Corp, SPSS Statistics ver. 26, USA).
UNASSIGNED: Eighty-three physicians responded to the survey, with an average age of 40.6 ± 8.6. More than half of the participants (53.0%, n = 44) were general ophthalmologists. Only 37.3% of our sample (n = 31) regularly evaluated the refraction of a child presenting with epiphora suggestive of CNLDO. Criggler\'s nasolacrimal duct massage was recommended by 62.7% of respondents (n = 52) for up to 12 months. In addition, 72.3% of respondents (n = 60) recommended 12 months as the minimum age for primary probing of CNLDO. Silicon intubation was considered for primary probing starting at 24 months by 31.3% of ophthalmologists (n = 20). Monocanalicular stent was preferred by 42.2% of respondents (n = 27) while 31.3% (n = 20) preferred bicanalicular stent.
UNASSIGNED: There is considerable variability in preferred practice patterns regarding the diagnosis and management of CNLDO in Jordan. Our findings highlight the gaps in optimum practices which need to be addressed for better management.
摘要：
■先天性鼻泪管阻塞（CNLDO）在新生儿中相当常见。这项横断面研究的主要目的是评估约旦眼科医生中CNLDO的首选实践模式。
■这项横断面研究是在约旦的所有眼科实践中进行的，使用方便采样。一份网上调查问卷,通过谷歌表单设计，通过社交媒体传播。调查包含四个领域：参与者的基线特征和诊断（7个项目），医疗管理（3项），CNLDO的手术治疗（11项）。使用SPSS(IBMSPSSCorp，SPSS统计功能。26，美国）。
■83名医生回答了这项调查，平均年龄为40.6±8.6。超过一半的参与者（53.0%，n=44）是普通眼科医生。我们的样本中只有37.3%(n=31)定期评估表现为CNLDO的泪滴的儿童的屈光情况。62.7％的受访者（n=52）建议使用Criggler鼻泪管按摩长达12个月。此外,72.3％的受访者（n=60）建议将12个月作为初次探查CNLDO的最低年龄。31.3％的眼科医生（n=20）考虑在24个月开始进行硅插管。42.2％的受访者（n=27）首选单管支架，而31.3％（n=20）首选双管支架。
■关于约旦CNLDO的诊断和管理的首选实践模式存在相当大的差异。我们的发现强调了最佳实践中的差距，需要解决这些差距以改善管理。
■这项横断面研究是在约旦的所有眼科实践中进行的，使用方便采样。一份网上调查问卷,通过谷歌表单设计，通过社交媒体传播。调查包含四个领域：参与者的基线特征和诊断（7个项目），医疗管理（3项），CNLDO的手术治疗（11项）。使用SPSS(IBMSPSSCorp，SPSS统计功能。26，美国）。
■83名医生回答了这项调查，平均年龄为40.6±8.6。超过一半的参与者（53.0%，n=44）是普通眼科医生。我们的样本中只有37.3%(n=31)定期评估表现为CNLDO的泪滴的儿童的屈光情况。62.7％的受访者（n=52）建议使用Criggler鼻泪管按摩长达12个月。此外,72.3％的受访者（n=60）建议将12个月作为初次探查CNLDO的最低年龄。31.3％的眼科医生（n=20）考虑在24个月开始进行硅插管。42.2％的受访者（n=27）首选单管支架，而31.3％（n=20）首选双管支架。
■关于约旦CNLDO的诊断和管理的首选实践模式存在相当大的差异。我们的发现强调了最佳实践中的差距，需要解决这些差距以改善管理。
