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
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsAlicia Galindo-Ferreiro, Teresa Palencia-Ercilla, Livia Mendoza Ferreira, Alberto Galvez-Ruiz, Denise C.M. Zornoff, Rajiv Khandekar, Silvana A. Schellini
- • Accepted on 13/11/2016
- • Available online on 20/12/2016
- • Published in print on 26/06/2017
This article is available as full text PDF.
- Galindo-Ferreiro, Alicia [PubMed] [Google Scholar] 1, 2, * Corresponding Author (email@example.com)
- Palencia-Ercilla, Teresa [PubMed] [Google Scholar] 3
- Ferreira, Livia Mendoza [PubMed] [Google Scholar] 4
- Galvez-Ruiz, Alberto [PubMed] [Google Scholar] 1
- Zornoff, Denise C.M. [PubMed] [Google Scholar] 5
- Khandekar, Rajiv [PubMed] [Google Scholar] 6
- Schellini, Silvana A. [PubMed] [Google Scholar] 4
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