Office- or Facility-Based Probing for Congenital Nasolacrimal Duct Obstruction

David G. Morrison, Gil Binenbaum, Melinda Y. Chang, Gena Hejdary, MD, PhD, Rupal H. Trivedi, Jennifer A. Galvin, Stacy L. Pineles

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Congenital nasolacrimal duct obstruction update study (CUP study): paper I—role and outcomes of Crigler’s lacrimal sac compression

Oshin BansalNandini BothraAbhimanyu SharmaPriyanka Walvekar & Mohammad Javed Ali 

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Microbial spectrum and antibiotic sensitivity in infantile dacryocystitis

Huiling QingZhengwei YangMenghai ShiJunge ZhangShengtao Sun & Lei Han 

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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.

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

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Primary Malignant Epithelial Tumors of the Lacrimal Drainage System: A Major Review

Swati Singh & Mohammad Javed Ali

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Pain Score Assessment Using Single-Dose IV Ketorolac Only, After External Dacryocystorhinostomy: A Randomized Double/Triple-Blind Placebo-Controlled Trial

Agarwal, Abhishek; Patidar, Narendra; Gabba, Harshdeep Singh; Sood, Devindra; Piush, Parimal 

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CT-Dacryocystography Findings in a Case of Atonic Lacrimal Sac

Bothra, Nandini; Ali, Mohammad Javed

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Balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction

Inbal Gazit, Eran PrasLior OrMorris E Hartstein

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Day-Case Admission for External Dacryocystorhinostomy in Preschool Children

Juniat, Valerie; Rose, Geoffrey E.; Timlin, H.; Wagh, V.J.; Abou-Rayyah, Y.; Uddin, J.; Verity, David H. 

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Pattern of Presentation and Surgical Outcomes of Canalicular Laceration Repair in a Pediatric Population

Rajul Agarwal, MBBS, DOMS, Narendra Patidar, MBBS, DOMS, Amit Mohan, MS, Rukmendra Singh, MBBS, MS, and Pradhnya Sen, MBBS, MS

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