The natural history of epiphora in childhood
The natural history of epiphora in childhood
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DOI：
10.1038/eye.1998.166
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发表时间：
1998-08-01
期刊：
影响因子：
3.9
通讯作者：
Young, JDH
中科院分区：
文献类型：
--
作者：
Maini, R;MacEwen, CJ;Young, JDH
目的调查人口中的7岁儿童溢泪的发病率和病因，并确定是否先天性鼻泪管阻塞（CNLDO）的保守管理政策的结果在过剩的泪道功能障碍，在以后的childhood.Methods邮寄问卷被发送到一个大的队列的父母7岁的儿童以前调查，以确定CNLDO的发病率和自然进展。他们被问及泪溢的存在，以及它与特应性疾病和上呼吸道感染（URTI）的关系。关于溢泪的信息也是在3岁半时从同一队列的常规检查中收集的。结果3.5岁时溢泪发生率为5.5%，7岁时溢泪发生率为7.7%。在7岁时，70%的病例与特应性疾病或URTI有关。CNLDO是没有显着相关的泪溢在儿童后期（p = 0.000032）。结论政策，推迟鼻泪管探测CNLDO，直到1岁后，不会导致在儿童后期泪功能障碍的检测过量，泪溢更有可能与特应性疾病或上呼吸道感染。
Purpose To investigate the incidence and aetiology of epiphora in a population of 7-year-old children and determine whether a conservative management policy for congenital nasolacrimal duct obstruction (CNLDO) results in excess lacrimal dysfunction in later childhood.Methods A postal questionnaire was sent to the parents of a large cohort of 7-year-old children previously investigated to determine the incidence and natural progression of CNLDO. They were asked about the presence of epiphora, and its relationship to atopic disease and the presence of upper respiratory tract infections (URTI). Information on epiphora had also been gathered from the same cohort at age 3 1/2 years at a routine examination. Data were compared with those for epiphora in infancy in the same cohort.Results The incidence of epiphora at 3 1/2 years was 5.5%, and 7 years 7.7%. At age 7 years 70% of cases were related to atopic disease or URTI. CNLDO was not significantly related to epiphora in later childhood (p = 0.000032).Conclusions A policy of delaying nasolacrimal probing in CNLDO until after the age of 1 year does not result in a detectable excess of lacrimal dysfunction in later childhood, when epiphora is more likely to be related to atopic disease or upper respiratory tract infection.