Evidence map›Paper›PMID 33032542›Full record

ArticleBMC ophthalmology2020

Success rates of probing for congenital nasolacrimal duct obstruction at various ages.

Marta Świerczyńska, Ewelina Tobiczyk, Piotr Rodak, Dorota Barchanowska, Erita Filipek

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Marta ŚwierczyńskaDepartament of Pediatric Ophthalmology, School of Medicine in Katowice, Medical University in Katowice, Katowice, Poland. m.swierczynska93@gmail.com.ORCID http://orcid.org/0000-0001-5734-2456
Ewelina TobiczykDepartament of Pediatric Ophthalmology, School of Medicine in Katowice, Medical University in Katowice, Katowice, Poland.
Piotr RodakStudents' Scientific Society, Ophthalmology Clinic and Department of Ophthalmology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Katowice, Poland.
Dorota BarchanowskaDepartament of Pediatric Ophthalmology, School of Medicine in Katowice, Medical University in Katowice, Katowice, Poland.
Erita FilipekDepartament of Pediatric Ophthalmology, School of Medicine in Katowice, Medical University in Katowice, Katowice, Poland.
Medical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough nasolacrimal duct probing is the standard treatment for congenital nasolacrimal duct obstruction (CNLDO) among children, the optimal timing of this procedure has been a topic of debate. The aim of the study was to analyze the clinical efficacy of nasolacrimal duct probing among patients with CNLDO symptoms at various ages.

methodsAn 8-year retrospective study involved 2434 patients (3009 eyes), who underwent nasolacrimal duct probing conducted under topical anesthesia in the operating theatre. The study group consisted of 1148 girls (47.2%) and 1286 boys (52.8%) from 2 weeks to 41 months (average age was 8 ± 5.6 months). The participants were divided into nine age groups: 0-2 months, 3-6 months, 7-9 months, 10-12 months, 13-15 months, 16-18 months, 19-21 months, 22-24 months and over 24 months.

resultsBilateral obstruction was present among 575 (23.6%) children and was associated with a higher percentage of unsuccessful procedures compared to patients with unilateral obstruction (16.9% vs 10.2%, p < 0.001 Chi-square test). The success rate of the initial probing was 87.2% for all children and it was shown that it decreased with age. In the above age groups, it was 87.9%; 91.4%; 89.6%; 86%; 76.3%; 71.3%; 70.3%; 70.2%; 65.4%, respectively.

conclusionsProbing is a safe and effective procedure. However, age at the time of the initial intervention and bilateral surgery constitute significant risk factors for failed probing. Probing between 7 and 9 months appears to be reasonable treatment strategy for children without recurrent infections. Early surgical intervention may be considered for patients with additional signs.

Indexed as

DacryocystorhinostomyLacrimal Duct ObstructionNasolacrimal DuctChildFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesTreatment OutcomeCNLDOCongenital nasolacrimal duct obstructionEpiphoraNasolacrimal duct probing

Identifiers

PMID33032542
PMCPMC7542772
OpenAlexW3092045919

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.