Congenital Nasolacrimal Ductus Obstruction Therapy Using Lacrimal Sacs Massage

Authors

  • Farraz Kanya Syahra Lampung University
  • Rani Himayani
  • Putu Ristyaning Ayu Sangging

DOI:

https://doi.org/10.53089/medula.v13i5.693

Keywords:

Lacrimal sac, massage, nasolacrimal duct obstruction

Abstract

Nasolacrimal duct obstruction is a disorder that is often found in children at the early age of birth. In most cases, the obstruction lies distal to the nasolacrimal duct as a result of a patent Hasner's valve. Epidemiological studies report that the prevalence of congenital nasolacrimal duct obstruction ranges from 5% to 20% in early childhood. Clinical manifestations that can occur as a result of this obstruction are in the form of epiphora or tears that don't drain properly resulting in accumulation and overflow of tears. In addition, symptoms that arise can be erythema on the periorbital skin, upper and lower eyelids due to irritation originating from reflex rubbing due to teardrops and discharge with inadequate drainage. This case can be given conservative therapy in the form of massage of the lacrimal sac which has been proven in many studies with favorable results. This therapy can be given in the absence of further complications such as mucocele or dacryocystitis. Massage therapy used since 1923 is the Crigler Technique. There is a new technique devised by a pediatric ophthalmologist, Philip, who provides new information based on his experience. This writing uses the article review method using several sources obtained from journals and books. This paper aims to determine the understanding and conservative management of congenital nasolacrimal duct obstruction so that the obstruction will disappear and prevent further complications.

Author Biographies

Rani Himayani

 

 

Putu Ristyaning Ayu Sangging

 

 

References

Perez Y, Patel BC, Mendez MD. Nasolacrimal Duct Obstruction. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan- Available from: https://www.ncbi.nlm.nih.gov/books/

Vagge, A., Ferro Desideri, L., Nucci, P., Serafino, M., Giannaccare, G., Lembo, A., & Traverso, C. E. (2018). Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review. Diseases (Basel, Switzerland), 6(4),96. https://doi.org/10.3390/diseases6040096

Hu K,Patel J, Patel BC.Cringler Technique For Congenital Nasolacrimal Duct Obstruction [Updated 2022 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.Available from: https://www.ncbi.nlm.nih.gov/books/NB K559267/

Nava C. A., Velasco Y LA. 2017. Nasolacrimal Duct Obstruction Review. JOJ Ophthal. 3(4): 555619. DOI: 10.19080/JOJO.2017.03.555619

Alam M. 2021. Non-Surgical rigler Massage for treatment of congenital nasolacrimal duct obstruction in infants below one year age. Professional Med J; 28(6):804- 807. https://doi.org/10.29309/TPMJ/2021.28. 06.621.

Philip, M. K. Brief Report on a New Nasolacrimal Massage Technique. Journal of Clinical & Experimental Ophthalmology. 2019; 10(5): 1000825.

Published

2023-05-31

How to Cite

Farraz Kanya Syahra, Himayani, R., & Ayu Sangging, P. R. (2023). Congenital Nasolacrimal Ductus Obstruction Therapy Using Lacrimal Sacs Massage. Medical Profession Journal of Lampung, 13(5), 720-724. https://doi.org/10.53089/medula.v13i5.693

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