Evidence map›Paper›PMID 24568978›Full record

Trial reportJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2014

Office probing for treatment of nasolacrimal duct obstruction in infants.

Aaron M Miller, Danielle L Chandler, Michael X Repka, Darren L Hoover, Katherine A Lee, Michele Melia, Paul J Rychwalski, David I Silbert, Pediatric Eye Disease Investigator Group, Roy W Beck and 13 more

2 registry-linked trialsOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00780741 phase3completednot on this map

A Randomized Trial Comparing Immediate Probing in an Office Setting With Deferred Probing in a Facility Setting for Treatment of Nasolacrimal Duct Obstruction in Children 6 to <10 Months Old

TypeinterventionalSponsorJaeb Center for Health ResearchRan2008 to 2012Enrolled220ConditionsNasolacrimal Duct ObstructionArmsImmediate Office Probing, Deferred Facility Probing
NCT02081781 completednot on this map

Case Control Study of the Factors That Affected the Outcome of Treatment of Congenital Nasolacrimal Duct Obstruction

TypeobservationalSponsorCathay General HospitalRan2014 to 2014Enrolled800ConditionsCongenital Nasolacrimal Duct ObstructionArmsProbing
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 47 citations in OpenAlex.

  1. Congenital nasolacrimal duct obstruction outcomes.Paediatrics & child health · 2026
    Article
  2. Review
  3. Congenital nasolacrimal duct obstruction: clinical guideline.Japanese journal of ophthalmology · 2024
    Article
  4. Article
  5. Trends in congenital nasolacrimal duct obstruction surgical procedures in the United States from 2003 to 2016.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. [Treatment of congenital lacrimal duct obstruction: A prospective clinical cohort study].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2015
    Article
  16. Dacryoscintigraphic findings in the children with tearing.Korean journal of ophthalmology : KJO · 2015
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 6 institutions in 1 country.

Aaron M MillerHouston Eye Associates, The Woodlands, Texas. Electronic address: pedignld3prob@jaeb.org.
Danielle L ChandlerJaeb Center for Health Research, Tampa, Florida.
Michael X RepkaWilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, Maryland.
Darren L HooverEverett and Hurite Ophthalmic Association, Cranberry TWP, Pennsylvania.
Katherine A LeeSt. Luke`s Children's Ophthalmology, Boise, Idaho.
Michele MeliaJaeb Center for Health Research, Tampa, Florida.
Paul J RychwalskiCole Eye Institute, Cleveland, Ohio.
David I SilbertFamily Eye Group, Lancaster, Pennsylvania.
Pediatric Eye Disease Investigator Group
Roy W Beck
Eric R Crouch
Sean Donahue
Jonathan M Holmes
Graham E Quinn
Nick A Sala
Susan Schloff
David K Wallace
Nicole C Foster
Kevin D Frick
Richard P Golden
Scott R Lambert
D Robbins Tien
David R Weakley
Jaeb Center for Health Research · USCleveland Eye Clinic · USHouston Eye Associates · USJohns Hopkins Medicine · USOphthalmology Associates (United States) · USSt. Luke's Clinic · US

Funding

Pediatric Eye Disease Investigator Group Coordinating CenterU10EY011751 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI KRAKER, RAYMOND · 1997 to 2018
$75.2M
Pediatric Eye Disease Investigator Group NetworkUG1EY011751 · NEI · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI Raymond Kraker, Stacy Pineles · 2019 to 2026
$53.7M
Pediatric Eye Disease Investigator Group: Chair's OfficeU10EY018810 · NEI · MAYO CLINIC ROCHESTER · PI HOLMES, JONATHAN M · 2009 to 2013
$3.5M
PEDIATRIC EYE DISEASE INVESTIGATOR GROUP: CHAIR'S OFFICEU10EY023198 · NEI · INDIANA UNIVERSITY INDIANAPOLIS · PI WALLACE, DAVID K · 2014 to 2018
$1.4M
NEI NIH HHS EY011751NEI NIH HHS EY018810NEI NIH HHS U10 EY011751NEI NIH HHS U10 EY018810NEI NIH HHS U10 EY023198NEI NIH HHS UG1 EY011751
6 · The paper itself

Abstract

purposeTo determine whether demographic or clinical factors are associated with the outcome of office-based nasolacrimal duct probing for the treatment of congenital nasolacrimal duct obstruction (NLDO).

methodsIn two multicenter prospective studies, 384 eyes of 304 children aged 6 to <15 months with NLDO underwent a nasolacrimal duct probing performed in the office using topical anesthesia. Treatment success, defined as no clinical signs of NLDO (epiphora, increased tear lake, or mucous discharge) and no reoperation, was assessed 1 month after probing in one study and 6 months after probing in the other study. Data from both studies were pooled to evaluate associations between baseline characteristics and treatment success.

resultsOffice probing was successful in 75% of eyes overall (95% CI, 70%-80%). The procedure was less successful in eyes of children with bilateral NLDO compared with unilateral NLDO (63% vs 80%; relative risk = 0.78 [95% CI, 0.66-0.92]) and in eyes that had 2 or 3 clinical signs of NLDO compared with one (71% vs 83%; relative risk = 0.88 [95% CI, 0.81-0.96]). Treatment success did not appear to be related to age, specific clinical signs of NLDO, prior treatment, or research study.

conclusionsPerforming nasolacrimal duct probing in the office successfully treats NLDO in the majority of cases in children aged 6 to <15 months. The success rate is lower with bilateral disease or when more than one clinical sign of NLDO is present.

Indexed as

DacryocystorhinostomyOphthalmologic Surgical ProceduresAmbulatory Surgical ProceduresAnesthesia, LocalFemaleHumansInfantIntubationLacrimal Duct ObstructionMaleNasolacrimal DuctProspective StudiesTreatment Outcome

Identifiers

PMID24568978
PMCPMC3936253
OpenAlexW1999636825

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.