Subjective outcome and quality of life following external dacryocystorhinostomy

Dani, Koshal; Yadalla, Dayakar; Joy, Anupama; Wu, Annie M; R, Jayagayathri 

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Assessment of conjunctival flora in eyes with lacrimal passage obstruction before and after successful dacryoendoscopic recanalisation

Takahiro Hiraoka, Sujin Hoshi, Kuniharu Tasaki, Tetsuro Oshika

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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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Automatic screening of tear meniscus from lacrimal duct obstructions using anterior segment optical coherence tomography images by deep learning

Hitoshi ImamuraHitoshi TabuchiDaisuke NagasatoHiroki MasumotoHiroaki BabaHiroki Furukawa & Sachiko Maruoka 

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Prognostic factors for local recurrence and survival and impact of local treatments on survival in lacrimal gland carcinoma

Joshua Richard Ford, Maria Laura Rubin, Steven Jay Frank, Jing Ning, James Matthew Debnam, Diana Bell, Adel El-Naggar, Renata Ferrarotto, Bita Esmaeli

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Management of proximal lacrimal obstructions: a rationale

Francesco M. Quaranta-LeoniMaria Grazia FiorinoFabio SerricchioFlavia Quaranta-Leoni

Purpose

To identify a rationale for correct surgical treatment of proximal lacrimal obstructions.

Methods

Retrospective review of 775 consecutive patients (974 eyes) with proximal lacrimal obstructions, operated on with customized surgery by a senior surgeon (FMQL) from January 2003 to December 2018.

Results

In case of punctal stenosis, punctoplasty was as effective as punctal dilatation with monocanalicular or bicanalicular stent (p > 0.05). In proximal canalicular obstructions, failure rate of dacrocystorhinostomy with retrograde intubation (R-DCR) was significantly higher in case of false inferior passage creation than in case of no false passage creation (p = 0.02). In mid-canalicular obstructions failure rate of R-DCR was 41.3%, and bypass surgery with Jones tube at second stage was likely. Trephination and monocanalicular intubation, performed in selected cases, had a failure rate respectively of 16.6% and 21.7% in mid and distal canalicular obstructions. Canaliculodacryocystorhinostomy (CDCR) was successful in 77% of cases of proximal common canalicular obstruction. Bypass surgery is the treatment of choice in case of no residual patency, and rates of tube extrusion were significantly reduced with the use of StopLoss Jones tubes (SLJT) (1.7%) with respect to standard tubes (12%), (p = 0.04, Fisher’s exact test).

Conclusion

Patient history and accurate diagnosis of the site of obstruction are essential for a correct surgical choice. Less invasive techniques as trephination and intubation may be effective, but should be reserved to patients with no associated lower lacrimal obstruction. Further studies require specific randomized clinical trials, and a standardized protocol adopted by different clinical centres.

https://onlinelibrary.wiley.com/doi/10.1111/aos.14632

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Microbial spectrum and antibiotic sensitivity in infantile dacryocystitis

Huiling QingZhengwei YangMenghai ShiJunge ZhangShengtao Sun & Lei Han 

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Introducing the concept of “Lacriome”

Mohammad Javed Ali

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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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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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