Pediatric lacrimal disorders

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

2 Scopus citations


• Nasolacrimal duct obstruction (NLDO) is one of the most common abnormalities in pediatric ophthalmology. • NLD often resolves spontaneously. • The symptom that is most useful in distinguishing NLDO from other causes of epiphora is the lack of photophobia. • In-office probing of younger patients with NLDO and operating room probing of older patients are acceptable treatments. • Recognition of different types of NLDO is useful in guiding management: - Most NLDO is due to membranous obstruction of the distal NLD and is relieved with simple NLD probing. - Some children with NLDO have diffuse stenosis of the distal NLD, which may require more than simple probing to treat effectively (either balloon catheter dilation or stents). - A small number of children with NLDO (particularly infants with mucoceles) have cysts or other abnormalities of the distal NLDO. • Nasal endoscopy is a useful adjunct to treatment of children with complicated NLDO.

Original languageEnglish
Title of host publicationPediatric Ophthalmology
Subtitle of host publicationCurrent Thought and A Practical Guide
PublisherSpringer Berlin Heidelberg
Number of pages11
ISBN (Print)9783540686309
StatePublished - Dec 1 2009


Dive into the research topics of 'Pediatric lacrimal disorders'. Together they form a unique fingerprint.

Cite this