Clinical analysis of treating neonatal dacryocystitis with combination therapy

Objective To evaluate the clinical efficacy of combination therapy on neonatal daeryocystitis.Methods A retrospective case series study.A total of 219 outpatients (257 eyes) with neonatal dacryocystitis were selected from January 2007 to August 2012 in the department of ophthalmology,the first affiliated hospital of Qiqihar medical college.The probing of lacrimal passage was performed which were ineffective in lacrimal sac and pressure washing,and treatment conditions were analyzed.Results Of 257 eyes,lacrimal sac massage cured 21 eyes,the cure rate was 8.17％ (2 1/257); lacrimal passage pressure washing cured 37 eyes,the cure rate was 14.40％ (37/257); probing of lacrimal passage cured 185 eyes,the cure rate was 71.98％ (185/257),in which 173 eyes cured with once probing,12 eyes cured with 2-3 probing; 14 eyes were ineffective and the rate was 5.45％ (14/257).Conclusions Probing of lacrimal passage can significantly improve the cure rate of neonatal dacryocystitis,which is safe and feasible and should be performed earlier. Key words: Neonatal dacryocystitis;  Dacryagogatresia;  Pressure washing of lacrimal passage; Probing of lacrimal passage