{"id":1290521,"date":"2026-01-12T00:00:00","date_gmt":"2026-01-11T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1290521"},"modified":"2026-01-12T00:00:00","modified_gmt":"2026-01-11T21:00:00","slug":"obstructia-congenitala-de-canal-nazolacrimal","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1290521","title":{"rendered":"Obstruc\u021bia congenital\u0103 de canal nazolacrimal"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_716642\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.botosaninews.ro\/wp-content\/uploads\/2026\/01\/carp-andreea_publicatii.png\"><img decoding=\"async\" aria-describedby=\"caption-attachment-716642\" loading=\"lazy\" class=\"size-medium wp-image-716642\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2026\/01\/carp-andreea_publicatii-300x197-1.png\" width=\"300\" height=\"197\" title=\"carp-andreea_publicatii-300x197-1\"><\/a><\/p>\n<p id=\"caption-attachment-716642\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/carp-andreea-lucia\">Dr. Andreea Lucia Carp<\/a>, medic specialist Oftalmologie, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>\u00cen mod normal, lacrimile sunt drenate de pe suprafa\u021ba ocular\u0103 \u00een cavitatea nazal\u0103 printr-un sistem canalicular. <strong>Obstruc\u021bia ductului lacrimal blocheaz\u0103 drenajul normal al lacrimilor, determin\u00e2nd apari\u021bia refluxului \u0219i a unor secre\u021bii conjunctivale \u00een exces.<\/strong><\/p>\n<p>\u00a0<\/p>\n<p><strong>Care sunt cauzele obstruc\u021biei congenitale de canal nazolacrimal?<\/strong><\/p>\n<p>Cauza cea mai frecvent\u0103 este reprezentat\u0103 de<strong> blocarea par\u021bial\u0103 sau total\u0103 a orificiului de deschidere \u00een cavitatea nazal\u0103 printr-o membran\u0103, care e prezent\u0103 la aproximativ 50% dintre nou-n\u0103scu\u021bi \u0219i care \u00een mod normal se resoarbe imediat dup\u0103 na\u0219tere.<\/strong> \u00cens\u0103, alte cauze ce pot determina blocajul ductului lacrimal sunt absen\u021ba punctelor lacrimale, canalul \u00eengust lacrimonazal \u0219i dezvoltarea incomplet\u0103 a ductului.<\/p>\n<p>Este o afec\u021biune \u00eent\u00e2lnit\u0103 des de oftalmopediatri, aproximativ 5-10% dintre sugari confrunt\u00e2ndu-se cu obstruc\u021bia congenital\u0103 de canal lacrimal.<\/p>\n<p><strong>Care sunt simptomele obstruc\u021biei congenitale de canal nazolacrimal?<\/strong><\/p>\n<p>Simptomele obstruc\u021biei congenitale de canal nazolacrimal sunt:<\/p>\n<ul>\n<li>Ochiul este l\u0103crimos, cu gene \u0219i pleoape umede, iar lacrimile se pot scurge spontan pe obraz.<\/li>\n<li>Pleoapele pot deveni ro\u0219ii \u0219i inflamate (inclusiv pleoape lipite la trezire), cu secre\u021bii conjunctivale abundente ce necesit\u0103 igien\u0103 local\u0103 frecvent\u0103.<\/li>\n<\/ul>\n<p>Severitatea simptomelor poate fi influen\u021bat\u0103 de infec\u021bii respiratorii superioare (viroze respiratorii, nas \u00eenfundat) \u0219i de factori de mediu externi (v\u00e2nt, frig).<\/p>\n<p><strong>Cum se diagnosticheaz\u0103 obstruc\u021bia congenital\u0103 de canal nazolacrimal?<\/strong><\/p>\n<p>Diagnosticul este confirmat de medicul oftalmolog \u0219i este extrem de important\u0103 excluderea altor cauze care pot determina l\u0103crimare excesiv\u0103, inclusiv <strong>glaucomul congenital<\/strong>.<\/p>\n<p><strong>Care este tratamentul obstruc\u021biei congenitale de canal nazolacrimal?<\/strong><\/p>\n<p>\u00cen marea parte a cazurilor se constat\u0103 <strong>remisia spontan\u0103 \u00een primele 8-10 luni de via\u021b\u0103<\/strong>. C\u00e2nd obstruc\u021bia persist\u0103, se recomand\u0103:<\/p>\n<ul>\n<li>igiena periocular\u0103 \u0219i \u00eendep\u0103rtarea secre\u021biilor purulente;<\/li>\n<li>masajul sacului lacrimal, care efectuat prompt \u0219i corect poate determina deschiderea canalului;<\/li>\n<li>administrarea topic\u0103 de antibiotice pentru tratarea suprainfec\u021biei;<\/li>\n<li>sondajul\/intuba\u021bia cu tub din silicon a c\u0103ilor lacrimale.<\/li>\n<\/ul>\n<p><strong>Este de re\u021binut c\u0103 antibioticele administrate topic nu determin\u0103 deschiderea canalului lacrimonazal, iar dup\u0103 oprirea pic\u0103turilor simptomele pot reap\u0103rea. Nu se recomand\u0103 tratamente de lung\u0103 durat\u0103 cu antibiotice.<\/strong><\/p>\n<p><strong>Ce presupune tratamentul chirurgical al obstruc\u021biei congenitale de canal nazolacrimal?<\/strong><\/p>\n<p>Dac\u0103 obstruc\u021bia de canal nazolacrimal este persistent\u0103 \u0219i dup\u0103 v\u00e2rsta de 8-10 luni, \u0219ansele ca blocajul s\u0103 se remit\u0103 spontan sunt sc\u0103zute \u0219i se va opta pentru realizarea <strong>sondajului c\u0103ilor lacrimale<\/strong>. O sond\u0103 cu suprafa\u021b\u0103 neted\u0103 \u0219i v\u00e2rful bont (asemenea unui fir drept), este introdus\u0103 prin punctele lacrimale \u0219i trecut\u0103 prin sistemul canalului nazolacrimal. Cu ajutorul sondei se poate iriga canalul, fapt ce va favoriza l\u0103rgirea \u0219i ruperea membranei ce blocheaz\u0103 ductul.<\/p>\n<p>\u00cen cazul \u00een care sondajul c\u0103ilor lacrimale nu are succes, se poate repeta procedura sau se poate opta pentru <strong>intuba\u021bia cu tub de silicon a ductului lacrimal<\/strong>. \u00cen cazul celei de-a doua variante chirurgicale, tubul de silicon va fi introdus \u00een canalul nazolacrimal, cap\u0103tul distal va fi fixat la nivelul mucoasei nazale \u0219i va fi extras dup\u0103 aproximativ 2-3 luni.<\/p>\n<p>Uneori poate fi necesar\u0103 o opera\u021bie mai complex\u0103 pentru a deschide canalul lacrimal prin crearea chirurgical\u0103 a unei conexiuni \u00eentre ductul lacrimal \u0219i cavitatea nazal\u0103 (dacriocistorinostomie). <strong>Dacriocistita<\/strong> este o urgen\u021b\u0103 \u0219i o complica\u021bie rar\u0103 a obstruc\u021biei de canal nazolacrimal, ce determin\u0103 apari\u021bia unui nodul ro\u0219u \u0219i dureros la nivelul ductului lacrimal, secre\u021bii mucopurulente, \u00eenso\u021bite de febr\u0103 \u0219i stare general\u0103 alterat\u0103. Aceast\u0103 afec\u021biune necesit\u0103 spitalizare \u00een urgen\u021b\u0103 \u0219i tratament sistemic cu antibiotice.<\/p>\n<p>\u00cen cele mai multe cazuri, pentru confortul pacientului \u0219i al operatorului, dezobstruc\u021bia canalului lacrimonazal se realizeaz\u0103 sub anestezie general\u0103 sau analgosedare.<\/p>\n<p>Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920<\/strong>, <strong>Call Center Arcadia<\/strong>.<\/p>\n<p><a href=\"http:\/\/www.arcadiamedical.ro\">www.arcadiamedical.ro<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Andreea Lucia Carp, medic specialist Oftalmologie, Arcadia \u00cen mod normal, lacrimile sunt drenate de pe suprafa\u021ba ocular\u0103 \u00een cavitatea nazal\u0103 printr-un sistem canalicular. Obstruc\u021bia ductului lacrimal blocheaz\u0103 drenajul normal al lacrimilor, determin\u00e2nd apari\u021bia refluxului \u0219i a unor secre\u021bii conjunctivale \u00een exces. \u00a0 Care sunt cauzele obstruc\u021biei congenitale de canal nazolacrimal? Cauza cea mai frecvent\u0103 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1290522,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1290521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1290521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1290521"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1290521\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1290522"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1290521"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1290521"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1290521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}