Title: Role of NLD Massage with or without Antibiotic Eye Drop in Congenital NLD Obstruction

Authors: Dr Nupur Suman, Dr Anuj Khullar, Piyoosh Verma, Dr Sanjay Verma

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.13

Abstract

Purpose: To determine the success rate of sac massage for congenital nasolacrimal duct obstruction with (laevofloxacin 0.5 %) or without any antibiotics.

Methods: 72 eyes of 65 patients aged 2 to 8 months diagnosed with Congenital nld blockage were included and divided into 2 groups; group 1 included NLD massage with antibiotic eye drops  (laevofloxacin 0.5 %) and group 2 included NLD massage without antibiotic eye drops.  sac massage was done by parent of child and patient was followed up at regular intervals of 15 days each, up to four months. Successful procedure was documented as complete remission of symptoms in subsequent visits following the procedure.

Results: Overall success rate of sac massage was 87 % in group 1 and 62% in group 2.

Conclusion: sac massage immediately after instilling of antibiotic eye drop has higher success rate then only massage.

Keyword: Sac Massage, Nasolacrimal duct, CNLDO, Antibiotic eye drops.

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Corresponding Author

Dr Sanjay Verma