High-resolution dacryoendoscopy for observation for pediatric lacrimal duct obstruction

Nozomi Matsumura; Satoshi Goto; Shin Yamane; Takeshi Fujita; Maiko Inoue; Mikio Inamura; Kazuaki Kadonosono

doi:10.1016/j.ajoc.2016.03.003

High-resolution dacryoendoscopy for observation for pediatric lacrimal duct obstruction

Am J Ophthalmol Case Rep. 2016 Mar 21:1:23-25. doi: 10.1016/j.ajoc.2016.03.003. eCollection 2016 Apr.

Authors

Nozomi Matsumura¹, Satoshi Goto², Shin Yamane³, Takeshi Fujita¹, Maiko Inoue³, Mikio Inamura⁴, Kazuaki Kadonosono³

Affiliations

¹ Department of Ophthalmology, Kanagawa Children's Medical Center, Japan.
² Department of Ophthalmology, The Jikei University School of Medicine, Katsushika Medical Center, Japan.
³ Department of Ophthalmology, Yokohama City University, Department of Ophthalmology and Micro-technology, Japan.
⁴ Inamura Eye Clinic, Japan.

Abstract

Purpose: The aim of this study was to describe high-resolution dacryoendoscopy findings for nasolacrimal duct obstruction (NLDO) in three representative pediatric cases with different etiologies.

Observations: In a case of congenital NLDO, a mucosal membranous obstruction was observed at the distal end of the nasolacrimal duct (NLD), and a slit-shaped opening of the NLD was observed after perforation. In a case of acquired NLDO secondary to an adenoviral infection, a membranous obstruction was observed at the proximal NLD. In a case of NLDO with chronic dacryocystitis in a patient with Down syndrome, diffuse fibrous obstruction was observed.

Conclusion and importance: High-resolution dacryoendoscopy enables a clearer visualization of pediatric lacrimal duct obstructions, leading to an improved understanding of their features.

Keywords: Congenital nasolacrimal duct obstruction; Dacryoendoscopy; Down syndrome; Endoscope; Lacrimal duct obstruction; Pediatric.

Publication types

Case Reports