■儿童时期的主视是一种常见症状,通常与先天性鼻泪管阻塞(CNLDO)有关。然而,眼表和眼睛内部的炎症性病变,甚至是先天性青光眼,在鉴别诊断中必须考虑。
■进行了有关CNLDO的综合文献综述。对不同的治疗步骤进行分类和总结,以反映现有的分阶段治疗概念。
■对于CNLDO,分阶段的治疗概念是适用的,仅通过保守或微创干预,治愈率约为95%。这个概念包括五个步骤,包括越来越复杂的治疗干预措施。它包括保守的技术,然后是探测和注射,不经泪管插管或有泪管插管的经泪管入路,和泪囊鼻腔吻合术,即ultima比率。
■为了尽可能地保留地形解剖结构,治疗建议可以逐步和个性化地管理CNLDO患儿.
UNASSIGNED: Epiphora in childhood is a frequent symptom that is typically associated with Congenital nasolacrimal duct obstruction (CNLDO). Nevertheless, inflammatory pathologies of the ocular surface as well as inside the eye, or even congenital glaucoma, must be considered in the differential diagnosis.
UNASSIGNED: A comprehensive literature review concerning CNLDO was conducted. Different therapeutic steps are categorized and summarized in order to reflect the existing staged therapeutic concept.
UNASSIGNED: For CNLDO, a staged therapeutic concept is applicable, resulting in a cure rate of approximately 95% with only conservative or minimally invasive intervention. This concept includes five steps that encompass therapeutic interventions with increasing complexity. It includes conservative techniques, followed by probing and syringing, transcanalicular approaches without or with lacrimal intubation, and dacryocystorhinostomy which is the ultima ratio.
UNASSIGNED: To preserve the topographic anatomy as much as possible, therapeutic recommendations enable stepwise and individualized management of children with CNLDO.