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Lacrimal duct

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https://www.readbyqxmd.com/read/27920491/interactive-navigation-guided-ophthalmic-plastic-surgery-navigation-enabling-of-telescopes-and-their-use-in-endoscopic-lacrimal-surgeries
#1
Mohammad Javed Ali, Swati Singh, Milind N Naik, Swathi Kaliki, Tarjani Vivek Dave
PURPOSE: The aims of this study were to report the preliminary experience of using telescopes, which were enabled for navigation guidance, and their utility in complex endoscopic lacrimal surgeries. METHODS: Navigation enabling of the telescope was achieved by using the AxiEM™ malleable neuronavigation shunt stylet. Image-guided dacryolocalization was performed in five patients using the intraoperative image-guided StealthStation™ system in the electromagnetic mode...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27852065/mitochondria-targeted-antioxidant-skq1-reduces-age-related-alterations-in-the-ultrastructure-of-the-lacrimal-gland
#2
Lora E Bakeeva, Chupalav M Eldarov, Irina M Vangely, Nataliya G Kolosova, Valeriya B Vays
Dry eye syndrome is an eye disorder affecting many people at an old age. Because dry eye syndrome is accelerated by aging, a useful approach to the prevention of this syndrome may be an intervention into the aging process. Previously, we showed that the mitochondria-targeted antioxidant SkQ1 delays manifestations of aging and inhibits the development of age-related diseases including dry eye syndrome. Nevertheless, the link between SkQ1's effects and its suppression of age-related changes in the lacrimal gland remains unclear...
November 11, 2016: Oncotarget
https://www.readbyqxmd.com/read/27844224/minimally-invasive-medial-maxillectomy-and-the-position-of-nasolacrimal-duct-the-ct-study
#3
Andrzej Sieskiewicz, Krzysztof Buczko, Jacek Janica, Adam Lukasiewicz, Urszula Lebkowska, Bartosz Piszczatowski, Ewa Olszewska
Several minimally invasive modifications of endoscopic medial maxillectomy have been proposed recently, with the least traumatic techniques utilizing the lacrimal recess as a route to enter the sinus. The aim of the study was to analyze the anatomy of medial maxillary wall in the region of nasolacrimal canal and, thus, to determine the capability of performing minimally invasive approach to the maxillary sinus leading through the lacrimal recess. The course of nasolacrimal canal and the distance between the anterior maxillary wall and the nasolacrimal canal (the width of lacrimal recess) were evaluated in 125 randomly selected computed tomography (CT) head examinations...
November 14, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27790959/igg4-related-syndrome-another-multiorgan-disease-in-the-interest-field-of-internal-medicine
#4
Antonino Tuttolomondo, Irene Simonetta, Domenico Di Raimondo, Tiziana Di Chiara, Roberta Conigliaro, Francesca Corpora, Valerio Vassallo, Antonio Pinto
BACKGROUND: IgG4-related disease is a rare, clinical and pathologic disease entity of unknown etiology. Its main features are increased serum concentrations of IgG4 > 1,35 g/l, lymphocyte and IgG4+plasma-cell infiltration within tissues, fibrosis or sclerosis. The classical presentation of IgG4-RSD is pancreatitis which is combined with the involvement of biliary ducts in 74 percent of patients. Extrapancreatic manifestations include: abdominal or mediastinal lymphadenopathy; the involvement of salivary glands and lacrimal glands, kidneys, lung, retroperitoneum...
2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/27766030/lacrimal-duct-occlusion-is-associated-with-infectious-keratitis
#5
Guigang Li, Jingmin Guo, Rong Liu, Weikun Hu, Lingjuan Xu, Juan Wang, Subo Cai, Hong Zhang, Yingting Zhu
Background: To explore the prevalence of lacrimal duct obstruction in patients with infectious keratitis, and the necessity of lacrimal duct dredge in the treatment of human infectious keratitis. Methodology/Principle Findings: The design is prospective, non-control case series. Thirty-one eyes from twenty-eight continuous patients with infectious keratitis were included in this study. The presence/absence of lacrimal duct obstruction was determined by the lacrimal duct irrigation test. The diagnosis of infectious keratitis was made based on clinical manifestations, cornea scraping microscopic examination and bacterial/fungus culture...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/27754826/clinical-significance-of-routine-lacrimal-sac-biopsy-during-dacryocystorhinostomy-a-comprehensive-review-of-literature
#6
Zoran Koturović, Miroslav Knežević, Dejan M Rašić
The main purpose of this paper is to provide the information about the incidence and types of pathology of secondary acquired obstructions of the lacrimal excretory outflow system caused by primary lacrimal sac non-neoplastic and neoplastic lesions. After a thorough literature search, 17 case-control studies were found and selected, data were extracted and categorized, to evaluate specific lacrimal sac pathology mimicking inflammation. A total of 3865 histopathologically examined lacrimal sac wall biopsy specimens from 3662 patients, taken during dacryocystorhinostomy for clinically presumed primary chronic dacryocystitis, were analyzed...
October 18, 2016: Bosnian Journal of Basic Medical Sciences
https://www.readbyqxmd.com/read/27727517/factors-associated-with-rhinostomy-shape-after-endoscopic-dacryocystorhinostomy
#7
Hyun Jin Shin, Kyung In Woo, Yoon-Duck Kim
OBJECTIVE: To determine the factors associated with rhinostomy shape after endoscopic dacryocystorhinostomy (DCR) in patients with primary acquired nasolacrimal duct obstruction. DESIGN: Retrospective comparative study. SETTING: University hospital. PARTICIPANTS: 102 cases in 70 patients were included in the study. MAIN OUTCOME MEASURE: All cases were classified into three groups according to the healed appearance of the rhinostomy: flat, ladle, and ice scoop type...
October 11, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27705268/worms-in-the-eye
#8
Kyungmin Huh, Jeong Hoon Choi
A 21-year-old man presented with a 2-week history of itching in his left eye. He reported "seeing worms" in his eye. He underwent thorough irrigation of the conjunctival sac and lacrimal duct, during which three worms were removed (video and Panel A). The worms were white, slender, and filiform..
October 6, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27590057/prevention-of-re-obstruction-in-watery-eye-treatment-three-flap-technique-in-external-dacryocystorhinostomy
#9
Hirohiko Kakizaki, Yoshiyuki Kitaguchi, Yasuhiro Takahashi, Jacqueline Mupas-Uy, Hidenori Mito
PURPOSE: To examine the surgical outcome of three-flap external dacryocystorhinostomy (3-flap ex-DCR) based on the most common site of granulation occurrence in no-flap endonasal DCR (no-flap en-DCR). METHODS: This was a retrospective observational study. We first examined the location of granulation occurrence in the osteotomy site using nasal endoscopy after no-flap en-DCR on 53 sides of 37 patients (5 male, 32 female) with nasolacrimal duct obstruction. Based on the results of this surgery, we performed 3-flap ex-DCR on 70 sides of 61 patients (18 male, 43 female) with nasolacrimal duct obstruction...
December 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/27587346/acquired-fistula-of-the-lacrimal-sac-and-laisser-faire-approach-description-of-the-natural-history-of-acquired-fistulas-between-the-lacrimal-sac-and-the-skin-occurring-before-planned-endonasal-dacryocystorhinostomy-dcr-and-without-any-treatment-of-the-fistula
#10
A Pison, J-L Fau, E Racy, B Fayet
INTRODUCTION: The formation of a fistula between the lacrimal sac and the skin is a classic outcome of resistant lacrimal sac abscesses. There is currently no consensus about treatment in such cases. The goal of this study was to describe the natural history of acquired fistulas between the lacrimal sac and the skin, occurring before planned endonasal dacryocystorhinostomy (DCR) and without any treatment of the fistula. MATERIALS AND METHODS: This prospective study was only descriptive and included patients between 1999 and 2012...
October 2016: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/27559621/conjunctival-cicatrizing-disease-presenting-with-lacrimal-obstruction
#11
Khami Satchi, Alan A McNab
Patients with conjunctival cicatrizing disease may develop lacrimal obstruction. Little is published on lacrimal obstruction as the presenting feature of otherwise asymptomatic cicatrizing conjunctival disease. The records of all patients presenting between 1994 and 2015 with lacrimal obstruction found to have cicatrizing conjunctival disease were reviewed. Demographic details, clinical findings, disease progression and treatment were analyzed. Thirty-five patients (25 female), aged 43-91 years (median 74, mean 71...
August 25, 2016: Orbit
https://www.readbyqxmd.com/read/27543067/a-comparative-study-of-transcanalicular-diode-laser-supported-endoscopic-dacryocystorhinostomy-and-non-laser-endoscopic-dacryocystorhinostomy
#12
Gültekin Övet, Yasar Sakarya, Mehmet Şentürk
OBJECTIVE: The primary surgical procedure for nasolacrimal duct obstruction is dacryocystorhinostomy (DCR). The purpose of this study was to compare non-laser endoscopic dacryocystorhinostomy (NL-EnDCR) and transcanalicular diode laser-supported endoscopic dacryocystorhinostomy (TDLS-EnDCR). MATERIALS AND METHOD: The data of patients who underwent DCR with the diagnosis of epiphora and chronic dacryocystitis between the years 2010 and 2016 were examined retrospectively...
July 12, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27541939/educational-report-a-case-of-lacrimal-sac-rhinosporidiosis
#13
Aaron Jamison, Kevin Crofts, Fiona Roberts, Maria Elena Gregory
This article reports a presentation of lacrimal sac rhinosporidiosis and informs the reader of this uncommon but important diagnosis. A 36-year-old man from Pakistan presented with a 3-month history of swelling at the nasal aspect of the left lower lid. This was associated with occasional crepitus and slight localised discomfort, but no epiphora. There was a palpable fullness near the left medial canthus associated with telecanthus but a normal sac washout and normal eye examination otherwise. Previous medical history included an ipsilateral nasal polypectomy and inferior meatal antrostomy around 10 years previously, whilst living in Pakistan...
October 2016: Orbit
https://www.readbyqxmd.com/read/27533513/dacryolithiasis-a-review
#14
Kapil Mishra, Karen Y Hu, Saurabh Kamal, Aleza Andron, Robert C Della Rocca, Mohammad Javed Ali, Akshay Gopinathan Nair
PURPOSE: To review and summarize the clinical features, presentations, diagnostic modalities and management of dacryolithiasis. METHODS: A comprehensive PubMed search of all English articles on dacryolithiasis was reviewed. Although this review primarily relied on articles written in English, non-English-language articles that had abstracts translated into English were also reviewed. Data reviewed included epidemiology, pathogenesis, appearance and composition, clinical features, presentations, diagnostic modalities, management of dacryolithiasis and the implications of incidental dacryoliths found during lacrimal surgery...
August 16, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27497377/indian-survey-on-practice-patterns-of-lacrimal-and-eyelid-disorders-isupple-report-1-congenital-nasolacrimal-duct-obstruction
#15
Akshay Gopinathan Nair, Saurabh Kamal
BACKGROUND: To assess the preferred practice patterns in the management of congenital nasolacrimal duct obstruction (CNLDO) among oculoplastic surgeons in India. The survey was aimed at obtaining data on the timing of intervention, procedure of choice, and the use of adjunctive techniques such as silicone intubation and nasal endoscopy. METHODS: An anonymized survey that included questions on the management of lacrimal disorders was sent in April 2015 to members of the Oculoplastic Association of India (OPAI), through an e-mail communication...
September 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27496006/endoscopic-modified-medial-maxillectomy-and-its-limitation-for-a-solitary-fibrous-tumor-of-the-lacrimal-sac-and-nasolacrimal-duct
#16
Munehito Moriyama, Satoru Kodama, Takashi Hirano, Masashi Suzuki
Solitary fibrous tumor (SFT) is an uncommon neoplasm that usually arises from the pleura. Recently, SFTs have been reported in the head and neck region located in subsites such as the orbit. SFTs of the lacrimal sac are extremely rare, with only six cases reported in the English literature. We describe a SFT arising from the right lacrimal sac and extending along the nasolacrimal duct into the nasal cavity. Although, the tumor could not be removed by endoscopic-modified medial maxillectomy (EMMM) alone, combined approach with EMMM and a small external incision achieved the complete removal of the tumor...
August 2, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27480301/-rosenm%C3%A3-ller-valve-during-endoscopic-dacryocystorhinostomy-in-treating-refractory-nasolacrimal-duct-obstruction
#17
M Wang, S Q Wang, J Zhang, M W Li, Z M Xing, X P Yuan, H Li, Y Liu, C L Geng
OBJECTIVE: The objective of this study was to assess the efficacy of exposing Rosenmüller valve during endonasal endoscopic dacryocystorhinostomy (EES-DCR) in treating refractory nasolacrimal duct obstruction. METHODS: Thirty six patients (47 eyes) with refractory nasolacrimal duct obstruction were entered into this study, including 13 patients (15 eyes) underwent nasal lacrimal duct intubation before, 18 patients (26 eyes) with small lacrimal sac, 2 patients underwent DCR before, 1 patient with functional nasal lacrimal duct obstruction, 1 patient with lacrimal mucocele, 1 patient with nasal trauma...
July 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27472722/nasolacrimal-recanalization-as-an-alternative-to-external-dacryocystorhinostomy-for-treating-failed-nasolacrimal-duct-intubation
#18
Jiaxu Hong, Tingting Qian, Anji Wei, Zhongmou Sun, Dan Wu, Yihe Chen, Anna Marmalidou, Yi Lu, Xinghuai Sun, Zuguo Liu, Francisco Amparo, Jianjiang Xu
To compare the surgical duration and clinical outcomes of nasolacrimal recanalization versus external dacryocystorhinostomy (DCR) in the treatment of failed nasolacrimal duct intubation.This is a retrospective, comparative, and interventional study. We evaluated the outcomes of 66 consecutive patients undergoing either nasolacrimal recanalization (n = 32) or DCR (n = 34) in a tertiary lacrimal disease referral center. Length of surgical duration, clinical outcomes, and rate of recurrence at 18 months postoperatively were compared...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27463627/bacteriological-profile-in-conjunctival-lacrimal-sac-and-nasal-specimens-and-conjunctival-normalization-time-following-external-endoscopic-and-transcanalicular-multidiode-laser-dacryocystorhinostomy
#19
Melike Balikoglu-Yilmaz, Ayse Banu Esen, Tolga Yilmaz, Umit Taskin, Muhittin Taskapili, M Faruk Oktay, Emine Sen, Timur Kose
PURPOSE: To compare the conjunctival, lacrimal sac, and nasal flora cultures and conjunctival normalization time following external (EX-), endoscopic (EN-), and transcanalicular multidiode laser (TC-) dacryocystorhinostomy (DCR) and to evaluate the relationship between culture positivity and surgical success. We further performed antibiotic sensitivity analyses for lacrimal sac culture samples. METHODS: A total of 90 patients with primary acquired nasolacrimal duct obstruction were recruited and divided into EX-DCR (n=32), EN-DCR (n=28), and TC-DCR (n=30) groups...
May 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27462255/lacrimal-sac-mucoepidermoid-carcinoma-with-metastases-to-the-cavernous-sinus-following-dacryocystorhinostomy-treated-with-stereotactic-radiotherapy
#20
Jonathan C P Roos, Bijan Beigi
PURPOSE: We report a very good outcome in a 44-year-old woman in whom cancer was missed as the cause of nasolacrimal duct obstruction and dacryocystitis and which was deemed inoperable after spreading to the cavernous sinus. CASE REPORT: The patient was referred to our unit 12 months following uneventful right dacryocystorhinostomy for nasolacrimal duct obstruction. This had been complicated by the formation of a significant canthal swelling 6 months later, which had been excised at that time...
January 2016: Case Reports in Ophthalmology
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