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Nasolacrimal duct obstruction

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https://www.readbyqxmd.com/read/29792536/outcomes-in-paediatric-external-dacryocystorhinostomy-a-single-centre-experience
#1
Tarjani Vivek Dave, Edak Ezeanosike, Milind N Naik, Mohammad Javed Ali
PURPOSE: To report the outcomes of external dacryocystorhinostomy (Ext DCR) in paediatric patients. METHODS: A single-centre, retrospective, interventional, non-comparative case series was performed on all paediatric patients who underwent Ext DCR between July 2010 and July 2014. Surgery was performed as per standard Ext DCR protocols with only anterior flap suturing. Data collected include demographics, clinical presentations, primary diagnosis, associated systemic anomalies, past interventions, indications for the surgery, use of adjuvants, intraoperative and post-operative complications, aetiology of DCR failure, anatomical and functional successes...
May 24, 2018: Orbit
https://www.readbyqxmd.com/read/29787339/outcomes-in-pediatric-powered-endoscopic-dacryocystorhinostomy-a-single-center-experience
#2
Nandini Bothra, Milind N Naik, Mohammad Javed Ali
PURPOSE: The purpose of the article is to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in pediatric patients. METHODS: A single-center, single surgeon, retrospective, interventional, non-comparative case series was performed on all pediatric patients who underwent PEnDCR between July 2014 and July 2017. Patients with associated congenital anomalies like single punctum agenesis or lacrimal fistula were excluded. Surgery was performed as per standard protocols published earlier...
May 22, 2018: Orbit
https://www.readbyqxmd.com/read/29773879/avoiding-dacryocystorhinostomy-in-cases-of-epiphora-caused-by-inferior-meatus-obstruction
#3
Dvir Koenigstein, Ran Ben Cnaan, Shay Keren, Igal Leibovitch, Ahmad Safadi, Roee Landsberg, Avraham Abergel
AIMS: To determine the role of inferior meatus pathologies as an underdiagnosed cause of epiphora. METHODS: This study was conducted in the oculoplastic institution of Tel Aviv medical center-a regional referral center. A retrospective review of files of patients presenting to the lacrimal clinic with nasolacrimal duct obstruction between October 2010 and September 2016. Cases in which a pathology of the inferior meatus was identified and treated are presented in this article...
May 18, 2018: Eye
https://www.readbyqxmd.com/read/29771885/-selection-of-optimal-method-of-general-anesthesia-for-intubation-of-nasolacrimal-duct-in-young-children
#4
E A Bachinin, S I Utkin, E L Sorokin, D Iu Ignatenko, M V Stoliarov, R N Khalfin
PURPOSE: comparative assessment of safety and clinical efficacy of Sevoflurane and Halothane in general anesthesia for nasolacrimal duct intubation in children. MATERIAL AND METHODS: Clinical results of nasolacrimal duct intubation in 288 children with persistent obstruction of tear duct were analyzed. A newly developed method of general anesthesia in the supine position was used for all cases. General anesthetic Phthorothanum was used in 146 children; general anesthesia with Sevoflurane - in 142 children...
2018: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/29770306/the-role-of-interventional-radiology-in-the-treatment-of-epiphora
#5
REVIEW
Francesca Patella, Silvia Panella, Stefania Zannoni, Maria Laura Jannone, Filippo Pesapane, Salvatore Alessio Angileri, Sara Sbaraini, Anna Maria Ierardi, Simone Soldi, Giuseppe Franceschelli, Gianpaolo Carrafiello
Epiphora is a relatively common ophthalmologic affection representing almost 5% of clinical consultations in ophthalmology and it consists in the complete or partial obstruction of nasolacrimal duct, leading to insufficient drainage of tears. The traditional treatment is represented by surgery namely, external dacryocystorhinostomy (DCR). Despite the high success rate DCR has many disadvantages and limitations since it requires general anesthesia, it may arise in a permanent facial scar and it is often affected by the reobstruction of the anastomotic tract by fibrotic scars and osteogenic activity...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29745245/endoscopic-powered-dacryocystorhinostomy-without-stenting-long-term-outcomes-of-120-procedures
#6
Ejder Ciğer, Mustafa K Balci, Seçil Arslanoğlu, Erdem Eren
Background The necessity of silicone stenting in endoscopic dacryocystorhinostomy (DCR) procedures is a controversial subject in the literature. Objective The purpose of the present study is to assess the long-term anatomical and functional outcomes of endoscopic-powered DCR (EP-DCR) without stenting or mucosal flaps. Methods One hundred twenty EP-DCR procedures were performed in 107 patients. Anatomical success was defined as a patent ostium on irrigation and functional success as free flow of dye from the ostium and resolution of epiphora...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29737972/a-systematic-review-of-patient-reported-outcomes-for-surgically-amenable-epiphora
#7
Christopher B Schulz, Alasdair Kennedy, Simon Rogers
PURPOSE: In evaluating epiphora and its management, the bottom line for all stakeholders is whether an intervention confers any real benefit on quality of life. A review was conducted to identify and appraise patient-reported outcome measures (PROMs) in surgically amenable epiphora. METHODS: A systematic search was conducted of studies relating to surgical intervention for epiphora. Patient-reported outcome measures were identified and assessed against standard criteria...
May 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29709044/congenital-nasolacrimal-duct-obstruction-and-its-association-with-the-mode-of-birth
#8
Mansha Palo, Shweta Gupta, Milind N Naik, Mohammad Javed Ali
PURPOSE: To assess the association of congenital nasolacrimal duct obstruction (CNLDO) with mode of birth (vaginal or cesarean). METHODS: This study was a prospective interventional case series of 200 consecutive cases of CNLDO presenting at a tertiary care center. Data collected include demographics, mode of delivery, elective or emergency cesarean section, primary or secondary cesarean sections, type of CNLDO (simple or complex), management, and outcomes. Statistical significance was set at a P value of less than ...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29675347/anisometropia-and-refractive-status-in-children-with-unilateral-congenital-nasolacrimal-duct-obstruction
#9
Adnan Aslam Saleem, Sorath Noorani Siddiqui, Umair Wakeel, Muhammad Asif
OBJECTIVE: The objective of the study was to evaluate the refractive status and thereby assess anisometropia in children with unilateral congenital nasolacrimal duct obstruction (CNLDO). STUDY DESIGN: This study design was a descriptive cross-sectional study. PLACE AND DURATION: this study was conducted at the Department of Pediatric Ophthalmology and Strabismology, Al-Shifa Trust Eye Hospital, Rawalpindi; from August 2013 to July 2014. METHODOLOGY: This study assessed consecutive children with unilateral CNLDO...
January 2018: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675345/comparison-of-endoscopic-and-external-dacryocystorhinostomy-for-treatment-of-primary-acquired-nasolacrimal-duct-obstruction
#10
Pei-Yuan Su
PURPOSE: The purpose of this study is to compare the success rates of endoscopic endonasal dacryocystorhinostomy (EN-DCR) and external DCR (EX-DCR) for the treatment of primary acquired nasolacrimal duct obstruction (PANLDO). DESIGN: This was a retrospective, comparative, nonrandomized clinical study. METHODS: Reviewed medical records of PANLDO underwent DCR at Far-Eastern Memorial Hospital from May 2011 to June 2017. Data regarding the lacrimal passage system, comorbidities, surgical outcomes, and postoperative complications were analyzed...
January 2018: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/29663112/extramucosal-pyriplasty-without-stenting-for-management-of-pyriform-aperture-stenosis
#11
Remon Bazak, Ahmed Aly Ibrahim, Wael K A Hussein, Mustafa Mohamed Abdelnaby, Samy Elwany
PURPOSE: The current management options of congenital pyriform aperture stenosis (CNPAS) are either conservative measures awaiting further growth of the bony nasal framework or surgical intervention that focuses on bone removal from the margin of the pyriform aperture (PA) without exposure of the nasolacrimal duct (NLD) followed by stenting. Recently, CT measurements of the nasal cavity in CNPAS have shed light that the site of maximal bony obstruction corresponds to the bony buttress encasing the NLD rather than the margin of the PA as initially thought...
April 16, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29582826/actinomycetes-canaliculitis-complicating-congenital-nasolacrimal-duct-obstruction-in-an-infant
#12
Akshay Gopinathan Nair, Nayana A Potdar, Swaranjali S Gore, Amol Y Ganvir, Monisha K Apte, Trupti R Marathe, Chaya A Kumar, Chhaya A Shinde
Actinomyces israelii is a Gram-positive anaerobic organism commonly associated with canaliculitis in adults. Pediatric canaliculitis is relatively rare, especially in infancy. We report the case of an 11-month-old boy who presented with co-existing canaliculitis and congenital nasolacrimal obstruction. The presenting signs included epiphora, discharge, conjunctival congestion, and matting of lashes. On examination, punctual pouting, regurgitation, and yellow canaliculiths were noted. A punctoplasty and canalicular curettage were performed along with nasolacrimal probing...
April 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29576330/intralacrimal-migration-of-masterka-%C3%A2-stents
#13
B Fayet, E Racy, W R Katowitz, J A Katowitz, J-M Ruban, D Brémond-Gignac
BACKGROUND: Tearing and conjunctivitis in children are commonly due to lacrimal drainage system obstruction. Congenital nasolacrimal obstruction is a common pathology treated by probing with or without silicone stent insertion, depending upon the age of the child. The silicone stent is self-retaining and placed for at least one month. Masterka® is a recent version of Monoka® , which may lead to the same surgical complications, such as intralacrimal migration. SUBJECTS AND METHODS: The medical records of two patients surgically treated with the Masterka® probe for nasolacrimal duct obstruction, who developed intralacrimal migration of the stent, were retrospectively reviewed and analyzed...
March 22, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29557891/recognition-and-management-of-acute-dacryocystic-retention
#14
Lindsay A McGrath, Kahmi Satchi, Alan A McNab
PURPOSE: Acute noninfectious dacryocystic retention is an under-recognized condition heralded by painful lacrimal sac swelling, obstruction, and epiphora. This longitudinal chart review aimed to estimate the incidence of this condition in an urban Australian population, while further defining the signs and symptoms of the disease and options for management. METHODS: We retrospectively reviewed the charts of 1,593 consecutive patients presenting with acquired nasolacrimal duct obstruction and epiphora between 1990 and 2015...
August 8, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29554075/ophthalmologic-complications-associated-with-oculofacial-plastic-and-esthetic-surgeries
#15
Ji Sun Baek, Kun Hae Kim, Jung Hye Lee, Hye Sun Choi
PURPOSE: To assess the ophthalmologic complications after oculofacial plastic and esthetic surgeries, including their incidence and management. METHODS: A retrospective study was performed on 110 patients who presented with ocular complications followed by oculofacial plastic and esthetic surgeries from January 2014 to December 2015. The incidence and management of complications after each surgery or procedure were analyzed. RESULTS: For lower eyelid blepharoplasty, the common complications were chemosis and lower eyelid ectropion...
March 16, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29544578/anisometropia-and-refractive-status-in-children-with-bilateral-congenital-nasolacrimal-duct-obstruction
#16
Sorath Noorani Siddiqui, Abdul Hannan, Hassan Mansoor, Muhammad Asif, Umair Wakeel
OBJECTIVE: To evaluate the state of refraction in children with bilateral congenital nasolacrimal duct obstruction (CNLDO). STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan, from April 2014 to April 2016. METHODOLOGY: Children with bilateral CNLDO were studied. Patients' refractive status were evaluated by performing cycloplegic refraction, followed by appropriate management plan...
March 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29523610/nasal-oncocytoma-causing-unilateral-epiphora-in-an-elderly-patient-the-vital-role-of-nasendoscopy
#17
Declan C Murphy, Mohamed Alfiky, Peter Prinsley
Oncocytomas are rare glandular tumours, typically found in salivary glands and kidneys. A 76-year-old man presented to an ophthalmology department after 3 months of persistent right-sided epiphora. Lacrimal syringing and a fluorescein dye test demonstrated an obstruction at the level of the nasolacrimal duct (NLD). Owing to the patient's history of dacryocystitis, endoscopic dacryocystorhinostomy was organised. When in theatre however, nasendoscopy identified a polypoid mass at the lateral aspect of the inferior turbinate, obstructing the right NLD opening...
March 9, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29509829/fluorescein-transit-test-time-as-a-tool-to-assess-lacrimal-pump-function-after-diode-laser-transcanalicular-dacryocystorhinostomy-and-external-dacryocysto-rhinostomy
#18
E D Feijo, R M Limongi, S Matayoshi
BACKGROUND: Dacryocystorhinostomy (DCR) is the gold standard surgical treatment for nasolacrimal duct obstruction. External DCR is the traditional approach (EXT-DCR); however, the advent of minimally invasive surgeries and the development of optic fiber and laser technologies have made it possible to perform laser transcanalicular DCR (T-DCR), a minimally invasive procedure. This study measured the fluorescein transit time (FTT) after EXT-DCR or T-DCR to evaluate the lacrimal drainage and lacrimal pump function after these two types of DCR...
March 6, 2018: Rhinology
https://www.readbyqxmd.com/read/29506497/a-novel-surgical-technique-for-punctal-stenosis-placement-of-three-interrupted-sutures-after-rectangular-three-snip-punctoplasty
#19
Seong Jun Park, Ju Hee Noh, Ki Bum Park, Sun Young Jang, Jong Won Lee
BACKGROUND: We developed a novel surgical technique to treat punctal stenosis involving the placement of three interrupted sutures after rectangular three-snip punctoplasty (TSP). METHODS: Retrospective chart review of forty-eight eyes of 44 patients who underwent rectangular TSP with three interrupted sutures was performed. We investigated whether anatomical recurrences (re-stenosis) occurred during the follow-up period. The subjective symptoms of patients were surveyed...
March 5, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29450381/insights-in-the-treatment-of-congenital-nasolacrimal-duct-obstruction
#20
REVIEW
Elena Avram
Introduction: Congenital nasolacrimal duct obstruction is one of the most common causes of epiphora in newborns and the main cause of this condition is the persistence of Hasner membrane. Several treatment options are available, like conservative treatment, probing, irrigation, or more complex techniques. Objective: The objective of this paper is to discuss the efficiency of different treatment options addressing congenital nasolacrimal duct obstruction based on trials reported in literature. Methods: Clinical trials were identified on PubMed...
April 2017: Romanian Journal of Ophthalmology
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