Office probing for congenital nasolacrimal duct obstruction: a study of parental satisfaction

J Pediatr Ophthalmol Strabismus. 1996 Jul-Aug;33(4):244-7. doi: 10.3928/0191-3913-19960701-09.

Abstract

Purpose: To determine parental satisfaction with nasolacrimal probings performed in the office without sedation for congenital nasolacrimal duct obstruction.

Methods: We reviewed the charts of 81 consecutive children under 4 years of age who underwent nasolacrimal probings in our office. Sixty-seven caretakers of these children were contacted by telephone to determine parental satisfaction, probing effectiveness, procedural complications, and future recommendations. A comparison between parental satisfaction and patient age, probing effectiveness, and unilateral versus bilateral probings was performed.

Results: Most caretakers (86%) were satisfied with the procedure and most (81%) would prefer the probing to be performed in the office rather than under general anesthesia (6% were unsure). Satisfaction rates were similar between the different age groups (P > .5 by Chi-square analysis), but were slightly lower in the unsuccessful probing and bilateral probing subgroups. Parents of children who underwent both an office procedure and a subsequent procedure under general anesthesia tended to prefer the office-based technique.

Conclusion: The majority of caretakers of children who underwent unilateral or bilateral nasolacrimal probings in the office without sedation were satisfied with the procedure and, when given a choice, preferred it over probings performed under general anesthesia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ambulatory Surgical Procedures / methods*
  • Ambulatory Surgical Procedures / psychology
  • Child, Preschool
  • Dacryocystorhinostomy*
  • Humans
  • Infant
  • Infant, Newborn
  • Lacrimal Duct Obstruction / congenital*
  • Nasolacrimal Duct / surgery*
  • Parents / psychology
  • Patient Satisfaction*
  • Retrospective Studies
  • Treatment Outcome