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.

https://www.tandfonline.com/doi/full/10.1080/01676830.2020.1767155

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Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency

Abdulmajeed AlaboudiOsama Al-ShaikhDalal Fatani & Adel H. Alsuhaibani

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Two cases of epidemic keratoconjunctivitis-associated dacryocystitis

Kevin B. H. Vo , Mark J. Lucarelli & Suzanne W. van Landingham

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Panophthalmitis and Visual Loss as a Complication of Acute Dacryocystitis

Nandini BothraKomal AgarwalMohammad Javed Ali

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Shifting to very early endoscopic DCR in acute suppurative dacryocystitis

Farzad Pakdel, Mohammad Soleimani, Abolfazl Kasaei, Kambiz Ameli, Niloofar Pirmarzdashti, Ali Sadeghi Tari, Mehrbod Ghasempour & Ali Banafsheafshan 

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Bilateral dacryocystitis complicated by unilateral retrobulbar abscess in a five-week-old infant

Marianne Juul-Dam, Clara Laursen, Linda Wiboe, Birgitte Hertz, Jesper Bille & Kristian Næser

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Lacrimal Drainage Anomalies in CHARGE Syndrome: Case Report and Review of Literature

Vasanthapuram, Varshitha Hemanth; Ali, Mohammad Javed

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https://journals.lww.com/op-rs/Abstract/2020/01000/Lacrimal_Drainage_Anomalies_in_CHARGE_Syndrome_.33.aspx

Dermoid cyst simulating recurrent dacryocystitis in a toddler

Amir Tengku-Fatishah, Baharudin Abdullah, Nadarajah Sanjeevan, Abdul Hamid Nurul-Shuhada, Tuan Sharif Sharifah-Emilia, Juhara Haron, Ismail Shatriah

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https://www.canadianjournalofophthalmology.ca/article/S0008-4182(18)30915-3/fulltext

Congenital Dacryocystocele: A Major Review

Singh, Swati; Ali, Mohammad Javed

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https://journals.lww.com/op-rs/Abstract/2019/07000/Congenital_Dacryocystocele__A_Major_Review.1.aspx

The microbiologic profile of dacryocystitis

Stella Y. Chung, Leon Rafailov, Roger E. Turbin & Paul D. Langer

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https://www.tandfonline.com/doi/full/10.1080/01676830.2018.1466901

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