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Epiphora

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https://www.readbyqxmd.com/read/29142801/idiopathic-acquired-dacryocystocele-presenting-only-with-epiphora-a-very-rare-case-report
#1
Muhammad Jahanzaib Anwar, Saad A Choudhry, Muhammad Aadil, Ahmer Asif, Atif Ameer
A 42-years-old male presented with left medial canthal swelling, accompanied with only mild epiphora. There was no history of dacryocystitis, mid-facial trauma, surgery, or bloody tears. On examination, there was an immobile, subcutaneous, non-inflammatory mass below the medial canthal tendon. Lacrimal irrigation showed blockade at the nasolacrimal duct. A computerized axial tomography (CAT) scan revealed a non-enhancing, low-density, cystic lesion at the inferomedial margin of the orbit. There were no signs of bony erosion, consistent with idiopathic acquired dacryocystocele...
September 4, 2017: Curēus
https://www.readbyqxmd.com/read/29132968/canaliculitis-due-to-gemella-haemolysans-in-a-single-isolate
#2
J L Romero-Trevejo, J Somavilla-Lupiáñez
CASE REPORT: An 84 year-old woman was referred for evaluation of a painless swelling with small purulent discharge in her left upper canaliculus, and an associated epiphora of one-month duration. The patient was diagnosed with acute primary canaliculitis. She was treated with topical and oral antibiotics, as well as topical corticoids for three months, with little response. Surgical treatment with left upper canaliculotomy and curettage was then performed, and Gemella haemolysans was identified from the curetted material...
November 10, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/29081868/comparison-of-polypropylene-sling-with-combined-transconjunctival-retractor-plication-and-lateral-tarsal-strip-for-correction-of-involutional-lower-eye-lid-ectropion
#3
Ruchi Goel, Abhilasha Sanoria, Sushil Kumar, Deepanjali Arya, Smriti Nagpal, Neha Rathie
PURPOSE: The study aims to compare the effectiveness and complications of transconjunctival retractor plication (TRP) with lateral tarsal strip (LTS) and the polypropylene sling (PS) surgery for treatment of involutional lower lid ectropion. METHOD: A prospective randomised pilot study was conducted on 30 eyes of 30 patients suffering from epiphora having horizontal eyelid laxity >6mm and age >50 years at a tertiary care centre from December 2014 to March 2015...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/29071273/chronic-lymphocytic-leukaemia-small-cell-lymphocytic-lymphoma-of-the-lacrimal-sac-a-case-series
#4
Yamini Krishna, Luciane D Irion, Sozan Karim, Aruna Dharmsena, Austin McCormick, Sarah E Coupland
BACKGROUND: Lymphomas of the lacrimal sac are rare, accounting for less than 10% of lacrimal sac malignant tumours. They may present with symptoms typical of secondary acquired nasolacrimal duct obstruction and are thus often misdiagnosed. METHODS: Case series and literature review. RESULTS: Herein we describe 3 cases of chronic lymphocytic leukaemia (CLL)/small-cell lymphocytic lymphoma (SLL) of the lacrimal sac with immunohistochemical and in 1 case molecular confirmation...
September 2017: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29040026/a-comparison-of-the-success-rates-of-endoscopic-assisted-probing-in-the-treatment-of-membranous-congenital-nasolacrimal-duct-obstruction-between-younger-and-older-children-and-its-correlation-with-the-thickness-of-the-membrane-at-the-valve-of-hasner
#5
Nishi Gupta, Chawla Neeraj, Bansal Smriti, Das Sima
Congenital nasolacrimal duct obstruction (CNLDO) remains the most common cause of epiphora in infants. This retrospective study compares the success rate of nasal endoscopic-assisted probing between younger (3 years and below) and older (above 3 years) children with membranous CNLDO and its correlation with the thickness of the membrane at the valve of Hasner. Case records of a total of 38 eyes in 34 children with membranous CNLDO who underwent endoscopic nasolacrimal duct probing and irrigation under general anesthesia were analyzed...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/28994268/classification-of-lacrimal-punctal-stenosis-and-its-related-histopathological-feature-in-patients-with-epiphora
#6
Mun Chong Hur, Sang Wook Jin, Mi Sook Roh, Woo Jin Jeong, Won Yeol Ryu, Yoon Hyung Kwon, Hee Bae Ahn
PURPOSE: To evaluate the classification of punctal stenosis based on the shape of the external punctum, clinical characteristics and histopathologic features. METHODS: Patients who experienced tearing and were diagnosed with punctal stenosis were evaluated in this study. Punctal stenosis was classified according to the shape of the lower external punctum, which included membranous type, slit type, horseshoe type, and pinpoint type. Tear meniscus height, 2% fluorescein dye disappearance test and lacrimal pathway irrigation were measured or performed...
October 2017: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/28969168/clinical-outcome-of-probing-in-infants-with-acute-dacryocystitis-a-prospective-study
#7
Bhawesh Chandra Saha, Rashmi Kumari, Bibhuti Prasanna Sinha
INTRODUCTION: Acute dacryocystitis is an uncommon but serious condition in infants and needs immediate treatment. Although, medical management with systemic antibiotics remains the mainstay of initial treatment, there are recent studies justifying simultaneous Naso Lacrimal Duct (NLD) probing with acceptable success rate. AIM: To assess the success rate of probing in the management of infantile acute dacryocystitis and to analyse the factors affecting it. MATERIALS AND METHODS: A prospective interventional study was designed and infants presenting with acute dacryocystitis with or without complications like dacryocystopyocele/ lacrimal abscess/preseptal cellulitis at a Tertiary Eye Care Centre from May 2014 to April 2016 were enrolled...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28964933/endonasal-dacryocystorhinostomy-in-children-our-experience
#8
Hetal Marfatia, Keya Shah, Swapna Patil, Yogesh Parmar
INTRODUCTION: Epiphora affects approximately 20% neonates, but most resolve spontaneously. Dacryocystorhinostomy (DCR) is indicated only when conservative management fails. OBJECTIVE: To observe clinical presentation, treatment modalities and effectiveness of endoscopic DCR in paediatric population. METHODS: It is a prospective study of 21 children done at our tertiary care hospital from 2011 to 2016. All were initially subjected to a trial of conservative management...
November 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28964297/paediatric-endonasal-dacryocystorhinostomy-using-an-otology-set-how-i-do-it
#9
Hetal Marfatia, Keya Shah, Asmita Madhavi, Yogesh Parmar
INTRODUCTION: Endonasal DCR is safely performed in children presenting with persistent epiphora, not responding to conservative management. The surgical technique of endoscopic DCR in the paediatric age group essentially remains the same as that performed in adults, but children have narrower nasal passages and relatively larger inferior turbinates which limit the surgeon's working space. The standard 2.7 mm paediatric nasal endoscope gives a smaller surgical work field as compared to the 4 mm adult endoscope...
October 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28933276/cyclophosphamide-and-or-anthracyclines-induced-epiphora-in-breast-cancer-patients-a-rare-side-effect
#10
Ruchika Kalra, Bhavesh Chavada, Nishant R Madhani, Bhargav Purohit, C B Tripathi
Two female breast cancer patients developed epiphora after administration of Cyclophosphamide and/or anthracyclines based 2-day chemotherapy regimen. The ophthalmologist was consulted and no apparent cause was found. Both patients was managed by ciprofloxacin eye drops. Chemotherapy-induced ocular complications are not uncommon, but under-reported. Although epiphora is a mild reaction if severe can interfere with daily activities. Patients receiving anticancer drugs should have a thorough ocular evaluation, in order to prevent, early diagnose and efficiently treat established ocular complications of the chemotherapy treatment...
September 19, 2017: Current Drug Safety
https://www.readbyqxmd.com/read/28895636/-minimally-invasive-therapy-of-lacrimal-drainage-system-stenosis
#11
Georgia Avgitidou, Konrad R Koch, Ludwig M Heindl
Epiphora is one of the most common symptoms for clinical ophthalmological consultation. This symptom is mostly caused by stenosis of the lacrimal drainage system. Over a century, external dacryocystostomy according to Toti was the treatment of choice. Today, new very encouraging minimally invasive techniques for recanalisation of the lacrimal drainage system, such as microdrilldacryoplasty or laserdacryoplasty, as well as bypass-based techniques, such as transcanalicular laser-assisted dacryocystorhinostomy, become more important in the treatment of dacryostenosis...
September 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28860910/success-rate-of-placement-of-a-bicanalicular-stent-for-partial-nasolacrimal-obstruction-in-adults-under-local-monitored-anesthesia-care-and-general-anesthesia
#12
David I Silbert
PURPOSE: To study The Kaneka Lacriflow Stent, a self-retaining bicanalicular intubation set that can be placed under local anesthetic, providing a new option to treat epiphora and partial NLDO. DESIGN: Retrospective chart review. SUBJECTS: 93 adult patients requiring treatment for a partial NLDO were evaluated. Stents were placed in office setting under local/topical anesthetic or in OR (MAC or GEN). The stent is placed with a stylet, and self-retains due to a widened portion sitting distal to the common canaliculis...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28860909/anatomical-and-functional-outcomes-of-canalicular-laceration-repair-with-self-retaining-mini-monoka-stent
#13
Md Shahid Alam, Neha Shrirao Mehta, Bipasha Mukherjee
AIM: To evaluate the anatomical and functional outcomes of canalicular laceration repair with self retaining monocanalicular intubation system (Mini-MONOKA). MATERIALS AND METHODS: The data of 29 patients undergoing canalicular laceration repair from 2010 to 2014 were retrospectively analyzed. Operative details and complications were noted. The stent was removed earliest at 3 months. Anatomical and functional success was defined by a patent syringing and the absence of epiphora respectively...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28859711/primary-endoscopic-endonasal-dacryocystorhinostomy-for-pediatric-nasolacrimal-duct-obstruction-a-systematic-review
#14
Jeyasakthy Saniasiaya, Baharudin Abdullah, Salina Husain, De Yun Wang, Zahiruddin Wan Mohammad
BACKGROUND: Epiphora secondary to nasolacrimal duct obstruction is common in the pediatric age group. The mainstay treatment among these young patients has been conservative. Once epiphora becomes recalcitrant, however, an external or an endonasal approach is considered. OBJECTIVE: Endoscopic dacryocystorhinostomy (EDCR) entails creating an opening from the lacrimal sac directly into the nasal cavity to counteract nasolacrimal duct obstruction. We reviewed the literature to determine the effectiveness and the safety of primary EDCR to treat pediatric nasolacrimal duct obstruction...
September 1, 2017: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/28837389/basaloid-adenocarcinoma-of-the-lacrimal-sac-a-rare-entity-and-approach-to-management
#15
Alison B Huggins, Mary A Stefanyszyn, Gurston Nyquist, Michael P Rabinowitz
Presented is a rare case of basaloid adenocarcinoma of the lacrimal sac. Low grade features of this malignancy permitted a conservative surgical approach to maximize functional and cosmetic outcomes. This is retrospective case description of a single 77-year-old-female patient who underwent a dacryocystorhinostomy with silicone tubes at an outside hospital for epiphora, but was referred to the Wills Eye Hospital Oculoplastics Department for a lacrimal sac biopsy showing low-grade carcinoma with basaloid features...
August 24, 2017: Orbit
https://www.readbyqxmd.com/read/28816979/a-new-method-for-locating-the-proximal-lacerated-bicanalicular-ends-in-chinese-preschoolers-and-long-term-outcomes-after-surgical-repair
#16
Ai Zhuang, Xiaoliang Jin, Yinwei Li, Xianqun Fan, Wodong Shi
This report is to explore the long-term outcomes of surgical repair of bicanalicular lacerations in Chinese preschool patients. In this report, 12 patients with bicanalicular lacerations were studied between September 2010 and September 2015. The distance from the punctum to the distal canalicular lacerated end was recorded before surgery to classify different types of trauma. All patients underwent surgical repair of the lacerated canaliculi by 1 surgeon within 48 hours after the trauma occurred. After treatment, the lesions were divided into 3 types according to the distance from the punctum to the distal lacerated canalicular end as follows: lateral, medial, and the central...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28816565/dacryocystectomy-as-a-treatment-of-chronic-dacryocystitis-in-the-elderly
#17
Mariana N Meireles, Magda Mh Viveiros, Roberta Lfs Meneghin, Alicia Galindo-Ferreiro, Mariângela Ea Marques, Silvana A Schellini
To evaluate the dacryocystectomy (DCT) outcomes for chronic dacryocystitis in an elderly population over 70 years old. A retrospective chart review was performed for patients over 70 years old who were diagnosed with chronic dacryocystitis and underwent DCT at the Botucatu School of Medicine, UNESP, Brazil, from 2007 to July 2014. Data were collected about patient demographics, age, gender, previous nasal, or ophthalmic diseases, symptoms related to the lacrimal drainage system preoperatively and postoperatively, signs of enlargement of the lacrimal sac (regurgitation of secretion), and histopathologic evaluation...
August 17, 2017: Orbit
https://www.readbyqxmd.com/read/28812923/the-use-of-prophylactic-nunchaku-stents-to-reduce-the-risk-of-nasolacrimal-duct-obstruction-in-patients-with-midfacial-tumours-undergoing-radiotherapy
#18
Valerie A R Juniat, Saul Rajak
The treatment of midfacial tumours with radiotherapy, chemotherapy and radio-iodine can cause nasolacrimal duct fibrosis resulting in epiphora. Nasolacrimal patency can be maintained by stenting. We report our experience of prophylatic Nunchaku stent insertion in 5 patients prior to midfacial radiotherapy. Four out of 5 patients (80%) had patent nasolacrimal ducts without any symptoms of epiphora following removal of the stents. One patient was initially asymptomatic with patent nasolacrimal duct, but subsequently developed epiphora...
August 16, 2017: Orbit
https://www.readbyqxmd.com/read/28798294/comparative-study-of-recessive-spherical-headed-silicone-intubation-and-endonasal-dacryocystorhinostomy-under-nasal-endoscopy-for-nasolacrimal-duct-obstruction
#19
Hui-Yi Deng, Tao Wang, Xue-Kun Huang, Qin-Tai Yang, Shi-Qi Ling, Wei-Hao Wang, Mei-Jiao Li, Fang-Qin Ning, Ge-Hua Zhang
Between July 2014 and November 2015, we compared the curative effects and cost-effectiveness of two kinds of nasal endoscopic surgery for nasolacrimal duct obstruction (NLDO) in a single-centre, two-armed clinical trial with a 1-year follow-up. We included two groups: a recessive spherical headed silicone intubation (RSHSI) group and an endonasal dacryocystorhinostomy (En-DCR) group; both received nasal endoscopy. Patients were recruited from the Otorhinolaryngology and Ophthalmology departments. The main outcome measures were epiphora improvement (classified as cure, effective, or invalid), cost-effectiveness, visual analogue scale (VAS) intraoperative pain score, bleeding volume, operating time, hospitalisation time, total cost, and VAS postoperative epiphora score...
August 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28791181/results-of-endoscopic-dacryocystorhinostomy-under-local-anesthesia-with-minimal-sedation
#20
Woong Chul Choi, Ji-Sun Paik, Sang Hee Doh
PURPOSE: We evaluated the tolerability and efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in patients treated in the leaning position and under local anesthesia with minimal sedation (LAS). STUDY DESIGN: Questionnaire to determine subjective success of Endo-DCR. METHODS: From May 2013 to August 2014, a total of 95 eyes with epiphora presented to the Myoung Eye Plastic Surgery Clinic in Seoul, Korea, and were treated with Endo-DCR under LAS...
2017: Journal of Ophthalmology
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