Orbital marginal cell lymphoma and mantle cell lymphoma subclone in patient with monoclonal gammopathy of unknown significance

Sitara H. HirjiMichelle M. MaengAndrea A. TooleyCraig SoderquistJoseph Annunziata & Michael Kazim

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Graded transantral orbital decompression outcomes in stable thyroid eye disease: a series of 47 orbits

Jonathan E. LuMargaret L. Pfeiffer & Michael A. Burnstine

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Thyroid eye disease with choroidal folds

Ann Q. TranSandy X. Zhang-NunesKenneth CahillChrisfouad R. AlabiadErin M. ShriverTiffany HoDavid A. WeinbergSteven M. CouchDianne M. SchlachterJohn Nguyen & Sara T. Wester

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Improvement of visual function and ocular and systemic symptoms following blepharoptosis surgery

Xiaodong ZhengHiroko YamadaArisa MitaniAtsushi ShiraishiTomoyuki Kamao & Tomoko Goto

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Evaluation of corneal biomechanical properties on ocular response analyzer and their correlation with the clinical profile of the patients with thyroid-associated ophthalmopathy

Nitika Pandey & Apjit Kaur Chhabra

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Fulminant orbital inflammatory syndrome in a patient with relapsing polychondritis: case report and review of the literature

Ahmed Sheikh & Rand Rodgers

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A technique for eyelid margin repair without use of marginal sutures

C. Pham, N G Valikodath, D. Reine & P Setabru

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Canalicular laceration repair using a self-retaining, bicanalicular, hydrophilic nasolacrimal stent

Clara J. MenAudrey C. KoLilangi S. EdiriwickremaCatherine Y. LiuDon O. Kikkawa & Bobby S. Korna

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Transcutaneous approach for orbital augmentation with alloplastic implants in acquired anophthalmia

Tamer I. Gawdat & Mostafa M. Diab

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Behavior and outcomes of 70 adult lacrimal sac mucoceles

Arpita NayakMohammad Javed AliDevjyoti TripathySamir MohapatraOshin Bansal & Suryasnata Rath

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Purpose: To study the clinical profile and outcomes in adults with lacrimal sac mucoceles.

Methods: A retrospective, interventional study on consecutive adult patients with lacrimal sac mucoceles who underwent dacryocystorhinostomy (DCR)/dacryocystectomy surgery. Primary outcome measure was subsidence of lacrimal sac swelling after intervention. Secondary outcome measure was anatomical patency of the lacrimal system.

Results: A total of 70 patients were studied, mean age of the group being 49.2 ± 13.5 years. Majority of the patients were female (n = 49; 70%) and all had unilateral disease. An appreciable number (n = 14; 20%) presented with acute dacryocystitis of which 6(8%) developed a lacrimal sac fistula. Encystment of the lacrimal sac mucocele was seen in 47 (67%) patients, 3(4%) developed preseptal cellulitis and 3(4%) needed imaging. Resolution of sac swelling after intervention was seen in 70 (100%) patients. Definitive management was DCR in 57 (81%) patients, of which anatomical patency was achieved in 55 (96%) patients, mean duration of follow up of the group being 138 ± 70.2 days. A trend to prefer adjuvants like Mitomycin-C and/or intubation was noted in 56 (98%) of patients.

Conclusions: Adult lacrimal sac mucocele is more commonly seen in females and unilaterally. Complications of this entity include encysted mucocele (67%), acute dacryocystitis (20%), lacrimal sac fistula (8%), and preseptal cellulitis (4%). It is essentially a clinical diagnosis and favourable outcomes are seen with DCR surgery.


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