Relationship Between Mode of Delivery, Gestational Age and Birth Weight on the Incidence of Congenital Nasolacrimal Duct Obstruction
Senem Salar-Gomceli, MD; Ayse Dolar Bilge, MD
Bronx Lebanon Hospital Center Department of Ophthalmology affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA
Ophthalmology Department, Emsey Hospital
Introduction: Congenital nasolacrimal duct obstruction (CNLDO) is the most common cause of epiphora in the pediatric population and hence is one of the most common causes of surgical intervention usually requiring general anesthesia at an early age. There is significant rise in the rate of medically indicated and personal preference primary cesarean section (CS) in many countries. Our purpose is to study any possible association between congenital nasolacrimal duct obstruction with mode of delivery, birth weight and gestational age.
Methods: Charts of all patients under the age of 3 who were born between April 2015 and May 2017 and were examined by the ophthalmology clinic at the same inner city hospital were retrospectively reviewed (n= 2591). Patients who were diagnosed as CNLDO were identified (n=105). The mode of delivery (CS versus normal spontaneous vaginal delivery (NSVD)), birth weight (BW) and gestational age (GA) along with any adverse event during or after delivery or any other ocular and health history were determined. Birth statistical data corresponding to the period were obtained from the hospital’s medical records database.
Results: Incidence of CNLDO in CS group (65/861) was significantly higher than in NSVD group (40/1775) (p=0,001). CS group was found to have 3,75 times higher risk of developing NLDO in comparison to NSVD group (OR=3,754). GA of babies in CS group was lower in comparison to NSVD group (p=0,002). BW of babies in CS group was higher which was statistically significant.
Conclusion: Our results suggest a possible association between CS and CNLDO.|
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