Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months
BACKGROUND: Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in neonates, often requiring intervention when conservative treatments and simple probing fail. This study aimed to explore the efficiency and safety of endoscopic-guided bicanalicular (BC) and monocanalicular (MC) Ri...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-05-01
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| Series: | Oman Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/ojo.ojo_250_24 |
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| author | Walid Mohamed Abdalla Eman N. Sultan |
| author_facet | Walid Mohamed Abdalla Eman N. Sultan |
| author_sort | Walid Mohamed Abdalla |
| collection | DOAJ |
| description | BACKGROUND:
Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in neonates, often requiring intervention when conservative treatments and simple probing fail. This study aimed to explore the efficiency and safety of endoscopic-guided bicanalicular (BC) and monocanalicular (MC) Ritleng intubation in treating CNLDO.
METHODOLOGY:
This multicenter, prospective, nonrandomized comparative study was conducted between 2007 and 2022. The study included a total of 90 patients aged 24–53 months who had either failed probing or presented late with CNLDO. The participants were divided into two groups: 45 treated with BC and the other 45 with MC Ritleng intubation. Surgical procedures were performed under general anesthesia. Follow-up visits were scheduled at 1 week postoperatively, then at 1 month, and 3 months after stent removal. Finally, postoperative outcomes were analyzed.
RESULTS:
The clinical success rates were comparable, with BC achieving 93.3% and MC achieving 92.2% (P = 0.68). BC intubation was associated with a higher complication rate (28.9%) compared to MC (4.4%), with a statistically significant difference (P = 0.004). The study also revealed the absence of significant associations between the incidence of complications and age, gender, or preexisting conditions (P = 0.90).
CONCLUSIONS:
Both BC and MC Ritleng intubation are effective treatments for late-presenting CNLDO and cases following failed probing. However, MC intubation stands out as a safer and quicker option, significantly reducing the risk of complications. This study emphasizes the advantages of MC Ritleng intubation for pediatric patients with CNLDO. |
| format | Article |
| id | doaj-art-c4f2d1be0c34430ea903f38f8154a728 |
| institution | Kabale University |
| issn | 0974-620X 0974-7842 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj-art-c4f2d1be0c34430ea903f38f8154a7282025-08-20T03:30:14ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X0974-78422025-05-0118219319710.4103/ojo.ojo_250_24Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 monthsWalid Mohamed AbdallaEman N. SultanBACKGROUND: Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in neonates, often requiring intervention when conservative treatments and simple probing fail. This study aimed to explore the efficiency and safety of endoscopic-guided bicanalicular (BC) and monocanalicular (MC) Ritleng intubation in treating CNLDO. METHODOLOGY: This multicenter, prospective, nonrandomized comparative study was conducted between 2007 and 2022. The study included a total of 90 patients aged 24–53 months who had either failed probing or presented late with CNLDO. The participants were divided into two groups: 45 treated with BC and the other 45 with MC Ritleng intubation. Surgical procedures were performed under general anesthesia. Follow-up visits were scheduled at 1 week postoperatively, then at 1 month, and 3 months after stent removal. Finally, postoperative outcomes were analyzed. RESULTS: The clinical success rates were comparable, with BC achieving 93.3% and MC achieving 92.2% (P = 0.68). BC intubation was associated with a higher complication rate (28.9%) compared to MC (4.4%), with a statistically significant difference (P = 0.004). The study also revealed the absence of significant associations between the incidence of complications and age, gender, or preexisting conditions (P = 0.90). CONCLUSIONS: Both BC and MC Ritleng intubation are effective treatments for late-presenting CNLDO and cases following failed probing. However, MC intubation stands out as a safer and quicker option, significantly reducing the risk of complications. This study emphasizes the advantages of MC Ritleng intubation for pediatric patients with CNLDO.https://journals.lww.com/10.4103/ojo.ojo_250_24bicanalicularcongenital nasolacrimal duct obstructiondacryostenosisepiphoraeye dischargemonocanalicularritleng intubation |
| spellingShingle | Walid Mohamed Abdalla Eman N. Sultan Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months Oman Journal of Ophthalmology bicanalicular congenital nasolacrimal duct obstruction dacryostenosis epiphora eye discharge monocanalicular ritleng intubation |
| title | Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months |
| title_full | Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months |
| title_fullStr | Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months |
| title_full_unstemmed | Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months |
| title_short | Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24–53 months |
| title_sort | endoscopic guided monocanalicular versus bicanalicular ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24 53 months |
| topic | bicanalicular congenital nasolacrimal duct obstruction dacryostenosis epiphora eye discharge monocanalicular ritleng intubation |
| url | https://journals.lww.com/10.4103/ojo.ojo_250_24 |
| work_keys_str_mv | AT walidmohamedabdalla endoscopicguidedmonocanalicularversusbicanalicularritlengintubationfortreatingcongenitalnasolacrimalductobstructioninpatientsaged2453months AT emannsultan endoscopicguidedmonocanalicularversusbicanalicularritlengintubationfortreatingcongenitalnasolacrimalductobstructioninpatientsaged2453months |