Congenital nasolacrimal duct obstruction is a common ophthalmic disease in children with a high incidence. The main clinical manifestation is persistent epiphora soon after birth, sometimes accompanied by an abscess. At present, the treatment methods used include conservative treatment and surgical treatment, but there exist some problems, such as improper surgical indications and non-standard surgical operation. In view of this, the Oculoplastic and Orbital Disease Group of Chinese Ophthalmological Society of Chinese Medical Association has reached a consensus after full discussion, in order to standardize the clinical diagnosis and treatment of congenital nasolacrimal duct obstruction in China. (Chin J Ophthalmol, 2021, 57: 814-818).
先天性鼻泪管阻塞是小儿眼科常见疾病，发病率较高，主要临床表现为患儿出生后不久出现持续性溢泪，可伴有溢脓。治疗方法包括保守治疗和手术治疗，目前临床存在治疗方法选择不当等问题，如手术指征把握不准、手术操作不规范等。鉴于此，中华医学会眼科学分会眼整形眼眶病学组经过充分讨论，针对先天性鼻泪管阻塞的诊疗达成共识性意见，以期规范我国相关临床工作，提高临床诊疗水平。（中华眼科杂志，2021，57：814-818）.

Oculoplastic surgeries encompass both emergency surgeries for traumatic conditions and infectious disorders as well as elective aesthetic procedures. The COVID-19 pandemic has brought about a drastic change in this practice. Given the highly infectious nature of the disease as well as the global scarcity of medical resources; it is only prudent to treat only emergent conditions during the pandemic as we incorporate evidence-based screening and protective measures into our practices. This manuscript is a compilation of evidence-based guidelines for surgical procedures that oculoplastic surgeons can employ during the COVID-19 pandemic. These guidelines also serve as the basic framework upon which further recommendations may be based on in the future, as elective surgeries start being performed on a regular basis.

It is a retrospective analysis of cases of endoscopic Dacryocystorhinostomy (DCR) in whom stents were not inserted after completion of surgery for the last 2 years. Thirty-five patients were included in this study, and selection of patients was done depending on both clinical findings preoperatively and on the operative findings during surgery. These criteria ensure that the level of obstruction is postsaccal, and good surgical procedure with maximal sac exposure and marsupialization. When all criteria were present, stents were not inserted. Follow-ups range from 6 to 12 months (average of 8 months). Success was determined by symptomatic relief of epiphora and dacryocystitis, together with the endoscopic findings of free passage of the fluorescein dye that is applied to the conjunctiva to the nasal cavity. In this study, all the patients had both symptomatic and clinical improvements making the success rate 100%. As a conclusion, stents are not always necessary after endoscopic DCR.

暂无摘要。