Often, newborns develop purulent discharge from the eyes in the first days of life. The main cause of these manifestations is obstruction and inflammation of the lacrimal canals - dacryocystitis.
When is it necessary to probe the lacrimal canal in newborns
In a child in the womb, the canal is covered with a gelatin film. It is provided by nature to protect against the entry of amniotic fluid into the respiratory tract. At birth, during the first breath and cry of the baby, the film is torn. But sometimes this breakthrough does not occur completely and the lacrimal canal remains closed. For this reason, the child’s tears gradually accumulate in the lacrimal sac, and the eye "sour". If such a problem occurs, the baby should be shown to the doctor. If the diagnosis is confirmed, then the conservative treatment will be prescribed
for the baby - drops, washing, special
massage of the lacrimal canal in newborns. If the treatment did not bring positive results, you will have to apply surgical intervention. Probing of the lacrimal canal in children
is the last measure in the treatment of dacryocystitis.
Carrying out
This operation, which consists in puncturing the film, is quick, but rather difficult. Probing of the lacrimal canal in newborns, as a rule, is done in 1-2 months under
local anesthesia. The procedure will take 10-15 minutes. During the operation, the tear ducts dilate with the help of the Siegel conical probe, after which the present film is breached by the Boumel probe. After the procedure, rinse with a disinfectant solution. Within 2-3 weeks after sensing, in order to prevent the formation of adhesions and relapse, the doctor prescribes preventive massage and antibacterial eye drops.
Result
This procedure is considered quite effective, and re-sounding of the lacrimal canal in newborns is not required. If after the operation there is no positive effect, then it is worth considering the presence of other reasons for the appearance of dacryocystitis in the child. Probing will not bring the desired result when the nasal septum is curved, as well as with other pathologies of the lacrimal and nasal canals. Such children are recommended surgery with a more complex intervention, which is performed no earlier than six years of age.
Probing of the lacrimal canal in newborns: possible complicationsThis operation should only be carried out by a qualified, experienced professional. But in any case, it is difficult to predict the reaction of the body to surgery and anesthesia. Often, a scar appears at the puncture site, which becomes the reason for repeated blockage of the channel. In order to avoid such consequences, it is necessary to treat the doctor’s recommendations with all responsibility. In addition, it must be borne in mind that the older the child, the more complicated the operation process. Over time, the gelatin film coarsens, and it becomes harder to pierce. In this case, independent discovery becomes almost impossible.