On the 3 day of the birth, the baby will be on the operating table
3 days of birth, the eye of a child’s lacrimal duct is blocked by pus. Nanjing Aier Eye Hospital experts “snail shell to do Temple”, the operation of minimally invasive devices in infant nasal cavity, the success of lacrimal passage. According to reports, 3 days old children with lacrimal duct surgery, the minimum age for the country.
Obstruction of lacrimal duct at birth 3 days
Recently, Nanjing AI eye hospital admitted a small patient Chen Chen (alias), this is the second hospital that she entered after birth. Chen from Jiangsu Lianyungang, although born only 3 days, but laughing long eyes curved, very good-looking. Chen was born to the family brings great joy, but Chen left corner of a gray mass caused his mother Shen’s attention. After a doctor’s examination, found that the problem may be lacrimal passages, taking into account the younger age and local technical problems, it is recommended to find the authority of the domestic lacrimal duct expert, director of Nanjing Ireland Eye Hospital Fan Jinlu. Xiao Shen was forced to accept the separation of mother and daughter, and watched her daughter on the way to seek medical advice.
The director Fan examination found that Chen suffering from neonatal lacrimal sac cyst by amniotic fluid, lacrimal duct obstruction, make eye secretions to form.
Small nasal surgery, successfully clear the lacrimal duct
The director decided to adopt fan Chenchen disposing of the latest 3D, the implementation of the “nasal endoscopic dacryocystorhinostomy combined with amniotic fluid pore cyst incision”. After detailed preoperative preparation, in the afternoon, Chen was sent into the operation room. Under the guidance of 3D endoscope, van cage used the bayonet to make cystic mass and the incision of the lacrimal sac, drainage the fluid in the bag, excised the wall of the cyst, treated the wound with antibacterial and anti-inflammatory, and promoted the repair of fibrous tissue.
The procedure seems normal, but it’s extremely difficult. Jim Grondin fan told reporters that the neonatal nasal cavity was small, in the course of operation, at the same time put into the lacrimal nasal cavity inside the small mirror and the needle holder two apparatus, which also tucked a needle, with a line of equipment to avoid bumps is not only full of twists and turns, the wound to sew, but also to avoid the injury of nasal mucosa, snail small shell to do temple, this also is the difficulty of surgery.
After surgery, the CNR lacrimal passage is open canthus pustule disappeared, to be discharged. Fan Jinlu introduced, before, he had more than a few months of birth to do the baby surgery, but 3 days of birth is the first time.
Infants with obstruction of the lacrimal passages, some can massage at home
Fan Jinlu, director of the subject of lacrimal passages at Nanjing Ireland Eye Hospital, said the obstructive diseases in infants include: amniotic fluid cyst, amniotic fluid cyst, infection, nasolacrimal duct obstruction and dacryocystitis. According to the indication and the degree of development of the affected area, we can gradually use the techniques of massage, probing, endoscopic cyst formation and dacryocystorhinostomy under nasal endoscope.
Among them, for some amniotic fluid cysts, nasolacrimal duct membrane obstruction and dacryocystitis, parents, as long as the correct grasp of massage techniques, you can at home for treatment. First of all, parents need to wash their hands, nails will be rounded, blunt and smooth. Then, the patients erect (up), with the index finger inside canthus of lacrimal sac in the projection zone on pushing the lower eyelid skin, fingertips over the upper eyelid, quickly under the pressure of upper eyelid, the abdominal pressure inside canthus, don’t leave the index finger to press on the eye skin, side direction, and then gently lift press again, so repeated. Some patients can heal themselves.
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Post time: Aug-31-2017