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Dacryocystorhinostomy in Children: A Solution for Constant Tearing

Dacryocystorhinostomy (DCR) is a common eye surgery performed on children. It's done when a child's tear duct is blocked, preventing tears from draining properly. As a result, the child's eye becomes constantly watery and prone to infection.
 

Why Do Children's Tear Ducts Become Blocked?

The tear duct is a small tube that carries tears from the eye to the nose. In some infants, this duct doesn't develop fully and remains closed. Various reasons can cause a blocked tear duct, including:
 
Incomplete development during fetal development: This is the most common cause of blocked tear ducts in infants.
Frequent infections: Repeated infections in the tear duct can lead to inflammation and blockage.
Small tumors: In rare cases, small tumors can block the tear duct.
 
Symptoms of Blocked Tear Ducts in Children
Constant tearing from one or both eyes: This is the most common symptom of a blocked tear duct.
Red and swollen eyes: Due to the accumulation of tears and potential infection.
Pus in the inner corner of the eye: If the tear duct is infected.
Irritation of the skin around the eye: Caused by constant contact with tears.
 
Diagnosing a Blocked Tear Duct
A pediatric ophthalmologist can diagnose a blocked tear duct. They will examine the child's eye and perform simple tests, such as inserting a colored dye into the tear duct.
 
Dacryocystorhinostomy Surgery
If the blockage doesn't resolve with simple treatments like massage and eye drops, the doctor may recommend surgery. Dacryocystorhinostomy is usually an outpatient procedure performed under local anesthesia. During the surgery, the doctor uses a small instrument to open the blocked tear duct, allowing tears to drain properly.
 
Benefits of Dacryocystorhinostomy
Eliminates constant tearing: The most significant benefit is resolving the constant tearing and improving the child's appearance.
Reduces the risk of infection: By opening the tear duct, the risk of recurrent eye infections is decreased.
Improves the child's quality of life: The child can play and engage in daily activities without worrying about constant tearing.
 
Risks of Dacryocystorhinostomy
While dacryocystorhinostomy is generally safe, like any surgery, it may have some risks, such as mild bleeding, infection, or a narrowing of the tear duct after surgery.
 
Post-Surgery Care
After surgery, the doctor will provide specific instructions for caring for the child's eye. This usually includes using eye drops, keeping the eye clean, and following up with the doctor for check-ups.
 
 
World Hepatitis Day 2024

A Silent Threat, It Is Time to Action

A Silent Threat, It's Time to Action - World Hepatitis Day 2024

The World Health Organization has designated July 28th as World Hepatitis Day to raise awareness about this disease, encourage vaccination, promote early diagnosis, and facilitate effective treatment for hepatitis. Early detection of hepatitis is crucial as prompt treatment can prevent the disease from progressing to cirrhosis or liver cancer.

The World Health Organization (WHO) has designated July 28th as World Hepatitis Day to raise global awareness about hepatitis, a group of infectious liver diseases. The day aims to encourage vaccination, promote early diagnosis, and facilitate effective treatment.
Early detection of hepatitis is crucial as prompt treatment can prevent the disease from progressing to cirrhosis or liver cancer. The ultimate goal is to reduce new hepatitis cases by 90% and hepatitis-related deaths by 65% by 2030. Reflecting this ambition, the WHO's slogan for 2024 is "It's time to action."
 
What is Hepatitis?
Hepatitis is the inflammation of the liver. This inflammation can be caused by viruses, chemicals, medications, or certain autoimmune diseases. The most common types of hepatitis are viral hepatitis caused by the hepatitis A, B, and C viruses.
 
Consequences of Hepatitis
The widespread prevalence of hepatitis can impose a significant economic burden on governments and communities. The high costs associated with treatment and the decreased productivity of the workforce can negatively impact a country's economic growth. Furthermore, individuals living with hepatitis may face long-term health problems and a reduced quality of life.
 
Transmission of Hepatitis
Hepatitis A: Transmitted through contaminated food or water, or direct contact with an infected person.
Hepatitis B: Transmitted through contact with infected blood or bodily fluids, such as unprotected sex or sharing needles.
Hepatitis C: Primarily transmitted through contact with infected blood, such as injecting drugs with contaminated needles or receiving contaminated blood products.
 
Symptoms of Hepatitis
While symptoms can vary, common signs of hepatitis include:
Extreme fatigue
Loss of appetite
Nausea and vomiting
Abdominal pain
Jaundice (yellowing of the skin and eyes)
Dark urine
Pale stools
 
Prevention and Treatment
To combat hepatitis:
Vaccination: Effective vaccines are available for hepatitis A and B.
Testing: Regular testing for early detection.
Safe behaviors: Practicing good hygiene, using condoms, and avoiding sharing needles.
Education: Raising public awareness.
Support: Providing support for those living with hepatitis.
Treatment for hepatitis depends on the specific virus and stage of the disease. While some cases resolve on their own, antiviral medications are available for hepatitis B and C.
 
Conclusion
Despite the challenges, the future of the fight against hepatitis is promising. Advancements in diagnosis, treatment, the development of new vaccines, and increased public awareness are all contributing to improving the lives of those affected by hepatitis. With global cooperation and investment, we can significantly reduce the burden of hepatitis by 2030.
 
who.int
cdc.gov
 
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