Pushed Monocanalicular Intubation for Primary Management of Congenital Nasolacrimal Duct Obstruction

Aim of Work: Evaluation of pushed monocanalicular intubation using Masterka® tube, regarding efficiency, complications, and advantages in patients with congenital nasolacrimal duct obstruction. Methods: A prospective study that included 30 eyes (of 30 patients), did intubation using Masterka tube as a primary treatment for congenital nasolacrimal duct obstruction. Children were aged 6 to 36 months at the time of surgery, with no prior nasolacrimal surgical procedure, and had at least one of the following clinical signs of NLDO: Epiphora, mucous discharge and/or increased tear lake. Results: Treatment success was defined as absence of epiphora, mucous discharge and increased tear lake at the outcome visit three month after tube removal. The overall success rate was 83.3%. Conclusion: Pushed monocanalicuar intubation (Masterka) is an effective and simple method for treatment of CNLDO and it requires only Mask inhalation anesthesia.