الملخص
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.
الكلمات المفتاحية
الموضوع
بيانات النشر
- المعرّف الرقمي
- 10.4103/ojo.ojo_250_24
- المجلة
- المجلة العُمانية لطب العيون, 18(2), 193-197
- الناشر
- منشورات ميدنو
- وصول مفتوح
- وصول مفتوح ذهبي
اقتبس هذه المقالة
APA 7
Abdalla, W. M., & Sultan, E. N. (2025). Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24-53 months. Oman Journal of Ophthalmology, 18(2), 193-197. https://doi.org/10.4103/ojo.ojo_250_24
MLA 9
Abdalla, Walid Mohamed, and 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, vol. 18, no. 2, 2025, pp. 193-197. https://doi.org/10.4103/ojo.ojo_250_24.
شيكاغو (المؤلف–التاريخ)
Abdalla, Walid Mohamed, and Eman N Sultan. 2025. "Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24-53 months." Oman Journal of Ophthalmology 18 (2): 193-197. https://doi.org/10.4103/ojo.ojo_250_24.
هارفارد
Abdalla, W. M. and Sultan, E. N. (2025) 'Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24-53 months', Oman Journal of Ophthalmology, 18(2), pp. 193-197. doi:10.4103/ojo.ojo_250_24.
فانكوفر
Abdalla WM, Sultan EN. Endoscopic-guided monocanalicular versus bicanalicular Ritleng intubation for treating congenital nasolacrimal duct obstruction in patients aged 24-53 months. Oman Journal of Ophthalmology. 2025;18(2):193-197. doi:10.4103/ojo.ojo_250_24
IEEE
W. M. Abdalla, and E. 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, vol. 18, no. 2, pp. 193-197, 2025, doi: 10.4103/ojo.ojo_250_24.