A survey of management of congenital nasolacrimal duct obstruction by pediatric primary health care providers in Spain

作者：Galindo Ferreiro Alicia; Palencia Ercilla Teresa; Ferreira Livia Mendoza; Galvez Ruiz Alberto; Zornoff Denise C M; Khandekar Rajiv; Schellini Silvana A

来源：European Journal of Ophthalmology, 2017, 27(4): 502-505.

DOI：10.5301/ejo.5000915

• Congenital
• Lacrimal disease
• Massage
• Nasolacrimal duct obstruction
• Pediatrician

Purpose: To survey the management of congenital nasolacrimal duct obstruction (CNLDO) by pediatric primary health care providers in Spain.
Methods: This was a descriptive study using a web-based questionnaire to evaluate the perceptions of the members of the Pediatric Primary Care Society in Castilla-Leon, Spain (APAPCYL), regarding management of CNLDO. The questionnaire contained 14 direct questions and was sent by e-mail to all the pediatricians. All the responses were analyzed by the frequency of occurrence and percentages.
Results: Ninety physicians responded to the questionnaire. Massage 2 or 3 times a day was the initial treatment advised by 60.47% of pediatricians. Nearly half of the pediatricians recommended continuing massage until symptoms resolved. Fewer than 50% of children required referral to an ophthalmologist. Reasons for an ophthalmic consult included persistence of symptoms among 87.21% of pediatricians and parental/guardian request among 10.5% of pediatricians. According to 45.6% of pediatricians, their knowledge about CNLDO is limited, and 92.2% would like to receive further training on CNLDO.
Conclusions: Massage was the main initial treatment for managing CNLDO among pediatricians. The outcomes of this survey indicated that massage fails in fewer than 50% of patients and an ophthalmic referral is required for these cases.

• 出版日期2017-8
• 单位Univ Estadual Paulista