{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:17:29Z","timestamp":1777580249663,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T00:00:00Z","timestamp":1482192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2017,6,26]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To survey the management of congenital nasolacrimal duct obstruction (CNLDO) by pediatric primary health care providers in Spain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a descriptive study using a web-based questionnaire to evaluate the perceptions of the members of the Pediatric Primary Care Society in Castilla-Le\u00f3n, Spain (APAPCYL), regarding management of CNLDO. The questionnaire contained 14 direct questions and was sent by e-mail to all the pediatricians. All the responses were analyzed by the frequency of occurrence and percentages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety physicians responded to the questionnaire. Massage 2 or 3 times a day was the initial treatment advised by 60.47% of pediatricians. Nearly half of the pediatricians recommended continuing massage until symptoms resolved. Fewer than 50% of children required referral to an ophthalmologist. Reasons for an ophthalmic consult included persistence of symptoms among 87.21% of pediatricians and parental\/guardian request among 10.5% of pediatricians. According to 45.6% of pediatricians, their knowledge about CNLDO is limited, and 92.2% would like to receive further training on CNLDO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Massage was the main initial treatment for managing CNLDO among pediatricians. The outcomes of this survey indicated that massage fails in fewer than 50% of patients and an ophthalmic referral is required for these cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ejo.5000915","type":"journal-article","created":{"date-parts":[[2016,12,23]],"date-time":"2016-12-23T07:47:07Z","timestamp":1482479227000},"page":"502-505","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Survey of Management of Congenital Nasolacrimal Duct Obstruction by Pediatric Primary Health Care Providers in Spain"],"prefix":"10.1177","volume":"27","author":[{"given":"Alicia","family":"Galindo-Ferreiro","sequence":"first","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh - Saudi Arabia"},{"name":"Department of Ophthalmology, Complejo Asistencial de Palencia, Palencia - Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Palencia-Ercilla","sequence":"additional","affiliation":[{"name":"Primary Health Care Pediatric Center Cuellar, Segovia - Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia Mendoza","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculdade de Medicina de Botucatu-UNESP, S\u00e3o Paulo - Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Galvez-Ruiz","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh - Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise C.M.","family":"Zornoff","sequence":"additional","affiliation":[{"name":"Distance Education and Health Information Technology Center, Faculdade de Medicina de Botucatu-UNESP, Sao Paulo - Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv","family":"Khandekar","sequence":"additional","affiliation":[{"name":"Diagnostic Research, King Khaled Eye Specialist Hospital, Riyadh - Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvana A.","family":"Schellini","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculdade de Medicina de Botucatu-UNESP, S\u00e3o Paulo - Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,20]]},"reference":[{"issue":"1","key":"bibr1-ejo.5000915","doi-asserted-by":"crossref","first-page":"39","DOI":"10.3928\/0191-3913-19890101-10","volume":"26","author":"Nucci P","year":"1989","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"bibr2-ejo.5000915","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2009.01592.x"},{"key":"bibr3-ejo.5000915","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20100308-04"},{"key":"bibr4-ejo.5000915","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-016-0208-5"},{"issue":"10","key":"bibr5-ejo.5000915","first-page":"759","volume":"63","author":"Bhandari S","year":"2015","journal-title":"Factors affecting treatment outcome in congenital nasolacrimal duct obstruction: A retrospective analysis from South India. 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