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Nasolacrimal duct obstruction

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https://www.readbyqxmd.com/read/27853012/outcomes-of-endoscopic-dacryocystorhinostomy-experience-of-a-fellowship-trainee-at-a-tertiary-care-center
#1
Saurabh Kamal, Mohammad Javed Ali, Akshay Gopinathan Nair
AIM: The study aims to report a single trainee's experience of learning and performing endoscopic endonasal dacryocystorhinostomy (En-DCR). SETTINGS AND DESIGN: This study was a retrospective, interventional case series. SUBJECTS AND METHODS: Fifty-four eyes of fifty patients presenting at a tertiary eye care center over 1 year were included in the study. All cases underwent endoscopic DCR with mitomycin-C and silicone intubation. The parameters studied included demographics, clinical features, intraoperative details, and postoperative ostium evaluation...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27813520/-preoperative-imaging-should-be-performed-for-all-cases-of-acquired-nasolacrimal-duct-obstruction-no
#2
J C P Roos, D G Ezra, G E Rose
No abstract text is available yet for this article.
November 4, 2016: Eye
https://www.readbyqxmd.com/read/27803865/bicanalicular-versus-monocanalicular-intubation-after-failed-probing-in-congenital-nasolacrimal-duct-obstruction
#3
Mohammad Taher Rajabi, Najmeh Zavarzadeh, Alireza Mahmoudi, Mohammad Karim Johari, Seyedeh Simindokht Hosseini, Yalda Abrishami, Mohammad Bagher Rajabi
AIM: To investigate the clinical outcomes of different intubation techniques in the cases of failed primary probing. METHODS: This retrospective study was performed on 338 patients with the diagnosis of congenital nasolacrimal duct obstruction with age 1-4y that had failed primary probing. Intubation was performed under light sedation in operating room and the stent was left 3mo in place. Clinical outcome was investigated 3mo after tube removal. RESULTS: Bicanalicular intubation method had higher complete and relative success rates compared to monocanalicular intubation (P=0...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27768643/transcanalicular-laser-assisted-dacryocystorhinostomy-with-endonasal-augmentation-in-primary-nasolacrimal-duct-obstruction-our-experience
#4
Ruchi Goel, Smriti Nagpal, Sushil Kumar, Ravi Meher, Saurabh Kamal, Sonam Garg
PURPOSE: To evaluate and compare the success rate of transcanalicular laser-assisted dacryocystorhinostomy with endonasal augmentation, with and without intubation, in patients suffering from primary acquired nasolacrimal duct obstruction, at 1 year of follow up. METHODS: A prospective, randomized interventional pilot study was conducted at a tertiary care center, in accordance with the guidelines of Declaration of Helsinki. Sixty eyes of 60 adult patients with primary acquired nasolacrimal duct obstruction were included...
October 20, 2016: Ophthalmic Plastic and Reconstructive Surgery
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/27664138/efficacy-of-adjunctive-mitomycin-c-in-transcanalicular-diode-laser-dacryocystorhinostomy
#8
Mustafa Ozsutcu, Ozlem Balci, Cafer Tanriverdi, Goktug Demirci
The objective of the study was to compare the success rate of transcanalicular laser dacryocystorhinostomy (TCL-DCR) with or without the use of adjunctive mitomycin C (MMC) in cases with primary nasolacrimal duct obstruction (NLDO). This retrospective study was comprised of 68 patients with uncomplicated primary NLDO. There were two groups in the study: the Group 1 (n = 35) patients underwent TCL-DCR surgery with MMC and the Group 2 (n = 33) patients underwent TCL-DCR surgery without MMC. All patients had bicanalicular silicone tube intubation...
September 23, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27660407/pushed-monocanalicular-intubation-versus-probing-as-a-primary-management-for-congenital-nasolacrimal-obstruction
#9
Emad Abdelaal Elsawaby, Rania Assem El Essawy, Sameh Hassan Abdelbaky, Yomna Magdy Ismail
PURPOSE: Evaluation of efficiency, complications, and advantages of pushed monocanalicular intubation using Masterka(®) tube versus simple probing in patients with congenital nasolacrimal duct obstruction (CNLDO). PATIENTS AND METHODS: This is a case-controlled study that included 60 eyes (of 53 patients); 30 eyes underwent probing and 30 eyes intubation using the Masterka tube as a primary treatment for CNLDO. The children were aged between 6 months and 36 months at the time of surgery, with no previous nasolacrimal surgical procedure, and had one or more of the following clinical signs of nasolacrimal duct obstruction: epiphora, mucous discharge, and/or increased tear lake...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27637019/treatment-of-congenital-nasolacrimal-duct-obstruction
#10
EDITORIAL
Leonard B Nelson
No abstract text is available yet for this article.
September 1, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27636242/a-novel-one-stage-obstruction-based-endoscopic-approach-to-congenital-nasolacrimal-duct-obstruction
#11
Mohsen Bahmani Kashkouli, Mohammad Bagher Abtahi, Hamed Sianati, Nina Mahvidizadeh, Farzad Pakdel, Pedram Bahmani Kashkouli, Parya Abdolalizadeh
PURPOSE: To report 10-year results of a 1-stage, obstruction-based, endoscopic approach in children with congenital nasolacrimal duct obstruction (CNLDO) with and without prior failed probing/intubation. METHODS: In a retrospective study, children with primary CNLDO of >6 months old previously failed probing/intubation, acute dacryocystitis or dacryocele at any age, and at least 6 months follow up. Diagnosis was based on history of tearing and dye disappearance test...
September 15, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27609160/nasolacrimal-duct-obstruction-does-it-really-increase-the-risk-of-amblyopia-in-children
#12
V Akila Ramkumar, Sumita Agarkar, Bipasha Mukherjee
PURPOSE: To report the prevalence of amblyopia risk factors in children with congenital nasolacrimal duct obstruction. METHODS: A retrospective review of records of children with the diagnosis of congenital nasolacrimal duct obstruction (NLDO), who underwent probing from January 2009 to October 2011, was done. All of them underwent a complete ophthalmic evaluation including cycloplegic refraction and strabismus evaluation before probing. RESULTS: A total of 142 children were included in this study...
July 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27590057/prevention-of-re-obstruction-in-watery-eye-treatment-three-flap-technique-in-external-dacryocystorhinostomy
#13
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
#14
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/27579563/simultaneous-bilateral-endonasal-endoscopic-dacryocystorhinostomy-a-low-cost-fast-and-successful-method
#15
Cem Bayraktar, Ayşe Sevgi Karadağ, Sedat Doğan, Ali Şimşek, Emin Kaskalan, Musa Çapkin
The etiology of primary nasolacrimal duct obstruction is largely unknown, and this disease may occur bilaterally in a small percentage of patients. In this retrospective study, the authors aimed to discuss the cost, operation time, complications, and success rate of simultaneous bilateral endonasal endoscopic surgery. Twenty-eight patients (16 female, 12 male) were enrolled in this study, with a mean age of 55 years old (range: 43-76). The success rate was 91% (51/56), and the mean operation time was 44 minutes...
August 31, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27573690/endoscopic-dacryocystorhinostomy-long-term-experience-and-outcomes
#16
Adriaan D Coumou, Stijn W Genders, Trudy M Smid, Peerooz Saeed
PURPOSE: To report our experience in endoscopic dacryocystorhinostomy in treating nasolacrimal duct obstruction over a 14-year period. METHODS: Retrospective case series carried out over a 14-year period from 1999 to 2014. A total of 624 endoscopic dacryocystorhinostomy procedures were performed in 442 patients who were diagnosed with persistent epiphora. PARTICIPANTS: In total, 624 procedures in a total of 442 patients (<18 yo: 36 and >18 yo: 406) were included...
August 29, 2016: Acta Ophthalmologica
https://www.readbyqxmd.com/read/27559621/conjunctival-cicatrizing-disease-presenting-with-lacrimal-obstruction
#17
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
#18
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/27533514/familial-incomplete-punctal-canalization-clinical-and-fourier-domain-optical-coherence-tomography-features
#19
Swati Singh, Mohammad Javed Ali, Milind N Naik
Incomplete punctal canalization is a form of punctal dysgenesis with membranous noncanalization and can be confused with punctal agenesis. The clinical and diagnostic features are known; however, familial incomplete punctal canalization has not been reported earlier. A family with 3 affected members is presented in this series with similar incomplete punctal canalization and nasolacrimal duct obstructions. After membranotomy and endoscopic dacryocystorhinostomy with bicanalicular intubation, all of them are free of epiphora at last visit...
August 16, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27533513/dacryolithiasis-a-review
#20
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
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