A survey of management of congenital nasolacrimal duct obstruction by pediatric primary health care providers in Spain



To survey the management of congenital nasolacrimal duct obstruction (CNLDO) by pediatric primary health care providers in Spain.


This was a descriptive study using a web-based questionnaire to evaluate the perceptions of the members of the Pediatric Primary Care Society in Castilla-León, Spain (APAPCYL), regarding management of CNLDO. The questionnaire contained 14 direct questions and was sent by e-mail to all the pediatricians. All the responses were analyzed by the frequency of occurrence and percentages.


Ninety physicians responded to the questionnaire. Massage 2 or 3 times a day was the initial treatment advised by 60.47% of pediatricians. Nearly half of the pediatricians recommended continuing massage until symptoms resolved. Fewer than 50% of children required referral to an ophthalmologist. Reasons for an ophthalmic consult included persistence of symptoms among 87.21% of pediatricians and parental/guardian request among 10.5% of pediatricians. According to 45.6% of pediatricians, their knowledge about CNLDO is limited, and 92.2% would like to receive further training on CNLDO.


Massage was the main initial treatment for managing CNLDO among pediatricians. The outcomes of this survey indicated that massage fails in fewer than 50% of patients and an ophthalmic referral is required for these cases.

Eur J Ophthalmol 2017; 27(4): 502 - 505




Alicia Galindo-Ferreiro, Teresa Palencia-Ercilla, Livia Mendoza Ferreira, Alberto Galvez-Ruiz, Denise C.M. Zornoff, Rajiv Khandekar, Silvana A. Schellini

Article History


Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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  • King Khaled Eye Specialist Hospital, Riyadh - Saudi Arabia
  • Department of Ophthalmology, Complejo Asistencial de Palencia, Palencia - Spain
  • Primary Health Care Pediatric Center Cuellar, Segovia - Spain
  • Department of Ophthalmology, Faculdade de Medicina de Botucatu-UNESP, São Paulo - Brazil
  • Distance Education and Health Information Technology Center, Faculdade de Medicina de Botucatu-UNESP, Sao Paulo - Brazil
  • Diagnostic Research, King Khaled Eye Specialist Hospital, Riyadh - Saudi Arabia

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