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Nasolacrimal duct obstruction

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https://www.readbyqxmd.com/read/28300732/clinical-profile-of-the-patients-with-pediatric-epiphora-in-a-tertiary-eye-care-center
#1
Rebika Dhiman, Bhavna Chawla, Mahesh Chandra, Mandeep S Bajaj, Neelam Pushker
PURPOSE: To study the clinical profile of children aged <10 years presenting with epiphora at a tertiary eye care center, to compare the clinical profile between the early onset (<3 years) and the late-onset (≥3 years) group, and to study the success of different treatment modalities. MATERIALS AND METHODS: A prospective nonrandomized observational study was conducted in 209 eyes of 167 patients (42 bilateral cases). The main outcome measure was postoperative relief of presenting symptoms and signs at 3 months follow-up...
January 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28258301/-minimally-invasive-diagnostics-and-therapy-of-congenital-nasolacrimal-duct-obstruction
#2
J Heichel, H-G Struck
BACKGROUND: One of the most frequent issues in pediatric ophthalmology concerns congenital nasolacrimal duct obstruction (CNLDO). Typically, irritation of the medial eyelid angle occurs during the first days of life and later increased epiphora appears as tear production is still reduced in young infants. In the case of intrasaccal or postsaccal nasolacrimal duct stenosis, a chronic dacryocystitis develops. METHODS: Modern minimally invasive diagnostics and therapy of CNLDO are reviewed by means of a search of the recent literature and reflection of own experiences...
March 3, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28253565/s-1-induced-lacrimal-drainage-obstruction-and-its-association-with-ingredients-metabolites-of-s-1-in-tears-and-plasma-a-prospective-multi-institutional-study
#3
Namju Kim, Jin Won Kim, Je-Hyun Baek, Jin-Soo Kim, Ho-Kyung Choung, Tae-Yong Kim, Kyung-Hun Lee, Yung-Jue Bang, Sang In Khwarg, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim, Jae-Yong Chung, Soyeon Ahn, Keun-Wook Lee
Purpose: This prospective study was conducted to determine the incidence of lacrimal drainage obstruction (LDO) during S-1 chemotherapy and evaluate the association between the development of LDO and the concentrations of ingredients/metabolites of S-1 in tears and plasma. Materials and Methods: A total of 145 patients with gastric cancer who received adjuvant S-1 therapy were enrolled. Ophthalmologic examinations were performed regularly during S-1 chemotherapy...
February 27, 2017: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/28239778/-minimally-invasive-bypass-surgery-for-nasolacrimal-duct-obstruction-transcanalicular-laser-assisted-dacryocystorhinostomy
#4
K R Koch, C Cursiefen, L M Heindl
BACKGROUND: In recent years, the minimally invasive surgical procedure of transcanalicular laser-assisted dacryocystorhinostomy (TKL-DCR) has gained importance in the treatment of primary acquired nasolacrimal duct obstructions (PANDO). OBJECTIVES: Surgical indications, functional success rates, potential advantages, and complications of TKL-DCR are presented and compared with the standard procedures external (EXT-DCR) and endonasal DCR (EN-DCR). METHODS: The study comprises a PubMed literature review and our own clinical results...
February 26, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28231605/endonasal-versus-external-dacryocystorhinostomy-for-nasolacrimal-duct-obstruction
#5
REVIEW
Lona Jawaheer, Caroline J MacEwen, Deepa Anijeet
BACKGROUND: A dacryocystorhinostomy (DCR) procedure aims to restore drainage of tears by bypassing a blockage in the nasolacrimal duct, through the creation of a bony ostium that allows communication between the lacrimal sac and the nasal cavity. It can be performed using endonasal or external approaches. The comparative success rates of these two approaches have not yet been established and this review aims to evaluate the relevant up-to-date research. OBJECTIVES: The primary aim of this review is to compare the success rates of endonasal DCR with that of external DCR...
February 24, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28224303/conjunctival-cytologic-features-in-patients-with-unilateral-primary-acquired-nasolacrimal-duct-obstruction
#6
Nilay Yuksel, Melek Mutlu, Aydan Kilicarslan, Emine Akcay
PURPOSE: To evaluate the cytologic features of conjunctival epithelium in patients with unilateral primary acquired nasolacrimal duct obstruction (PANDO) using impression cytology. METHODS: Twenty-four patients with unilateral PANDO for at least 1 year were enrolled in this study. The healthy eyes of the patients are assessed as control group. All patients were subjected to ophthalmic surface examination with conjunctival impression cytology analysis. Squamous metaplasia and goblet cell density were graded according to Nelson grading system...
February 21, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28219366/bacteriology-of-the-conjunctiva-in-pre-cataract-surgery-patients-with-occluded-nasolacrimal-ducts-and-the-operation-outcomes-in-japanese-patients
#7
Yuko Hayashi, Takeshi Miyamoto, Shuko Fujita, Katsuo Tomoyose, Nobuyuki Ishikawa, Masahide Kokado, Takayoshi Sumioka, Yuka Okada, Shizuya Saika
BACKGROUND: Contamination of the conjunctiva in association with nasolacrimal duct obstruction is by all accounts a risk factor for infectious endophthalmitis post-cataract surgery. METHODS: All patients who underwent cataract day surgery routinely received nasolacrimal duct syringing with normal saline at the Wakayama Medical University Hospital, Japan, from 2011 to 2013. The microorganisms isolated from conjunctival swab samples of patients with occluded nasolacrimal ducts and their susceptibility to antibiotics, as well as the operation outcomes in all the patients were retrospectively investigated...
February 20, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28210015/frequency-of-bacterial-samples-from-patients-with-chronic-acquired-nasolacrimal-duct-obstruction
#8
Kourosh Shahraki, Ali Makateb, Keyvan Shirzadi, Keivan Khosravifard
INTRODUCTION: Dacryocystitis is an infection of lacremical sac due to obstruction of nasolacrimal duct which has primary or secondary causes. Idiopathic inflammatory obstruction is the primary cause. Trauma, infection, inflammation, neoplasia, and mechanical obstruction are secondary one. AIM: The objective of this study is determination of bacterial samples from patients with chronic acquired nasolacrimal duct obstruction. METHODS: This cross-sectional study was contained 90 patients with dacryocystitis from 2010 to 2011, in Besat hospital...
December 2016: Medical Archives
https://www.readbyqxmd.com/read/28203194/accidental-ingestion-of-nasal-packing-gauze-during-endonasal-endoscopic-dacryocystorhinostomy-under-local-anesthesia-a-case-report
#9
Yoshiyuki Kitaguchi, Jacqueline Mupas-Uy, Yasuhiro Takahashi, Kazushige Ishida, Hirohiko Kakizaki
PURPOSE: To report a case of accidental ingestion of a nasal packing gauze during endonasal endoscopic dacryocystorhinostomy (en-DCR) under local anesthesia. CASE REPORT: A 66-year-old female patient underwent an en-DCR for a right acquired nasolacrimal duct obstruction. The surgery was performed in a supine position under local anesthesia. An X-ray detectable ribbon gauze soaked in 0.02% epinephrine was placed in the middle meatus to prevent blood and liquid from flowing into the pharynx...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28178100/increased-concomitant-nasal-procedure-frequency-in-bilateral-endoscopic-dacryocystorhinostomy
#10
Cem Bayraktar, Ali Şimşek
The etiology of primary nasolacrimal duct obstruction (NLDO) is unknown, and the disease may exist bilaterally in a small number of patients. Dacryocystorhinostomy (DCR) surgery is the recommended treatment for these patients, but concomitant nasal pathologies are believed to be related to decreased surgical success. The authors aim to assess the concomitant required nasal surgical procedure frequency for endoscopic surgical access retrospectively in bilateral and unilateral NLDO patients. Twenty-eight patients who underwent bilateral endoscopic DCR simultaneously and 30 patients who underwent unilateral endoscopic DCR were enrolled in this retrospective study...
February 7, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28165837/endoscopic-dacryocystorhinostomy-following-head-and-neck-radiation-therapy
#11
Adam R Sweeney, Greg E Davis, Shu-Hong Chang, Arash Jian-Amadi
This article determines the efficacy of endoscopic dacryocystorhinostomy (endoDCR) in patients who have undergone adjuvant external beam radiation therapy (XRT) following head and neck cancer resection. A retrospective chart review was performed on all patients who underwent endoDCR between 2006 and 2014 at a tertiary referral center. Cases were reviewed and selected for the following inclusion criteria: history of adjuvant sinonasal XRT following head and neck cancer resection, preoperative probing and irrigation demonstrating nasolacrimal duct obstruction (NLDO), postoperative probing and irrigation following silicone tube extubation...
February 6, 2017: Orbit
https://www.readbyqxmd.com/read/28146362/epiphora-as-first-presenting-sign-of-primary-extranodal-nk-t-cell-lymphoma-of-the-lacrimal-sac
#12
Mikel Mikhail, René P Michel, Jeffrey Chankowsky, Bryan Arthurs
A 28-year-old Caucasian female presented with a six-month history of epiphora of the right eye. Diagnostic lacrimal syringing revealed obstruction of the right nasolacrimal duct. During external dacryocystorhinostomy (DCR), the lacrimal sac had an unusual papillary appearance. Frozen sections suggested malignant lymphoid cells. Pathologic examination revealed extranodal NK/T-cell lymphoma, nasal type. Imaging revealed a mass lesion centered on the lacrimal sac. The authors describe the youngest Caucasian patient with a primary NK/T-cell lymphoma of the lacrimal sac, as well as the first case presenting with epiphora as the sole presenting symptom, reported in the literature...
February 2017: Orbit
https://www.readbyqxmd.com/read/28145798/lacrimal-intubation-during-dacryocystorhinostomy-utilizing-the-stentube
#13
Roman Shinder, Andrew Wu, Reshma A Mehendale, Sunny X Tang, Qasiem J Nasser, Eva Chou, Matthew C Sniegowski, Alexandra Janda, Todd R Shepler, Sean M Blaydon, Tanuj Nakra
The traditional use of the Crawford tube for lacrimal intubation during dacryocystorhinostomy (DCR) carries several drawbacks. We describe the use of the STENTube for DCR intubation and detail its advantages. Retrospective, noncomparative, interventional case series; 313 patients with nasolacrimal duct obstruction (NLDO) underwent 339 DCRs (216 external, 123 endonasal) with the STENTube from January 2007 - June 2013 by 5 surgeons (RS, QN, TS, SB, TN) across 3 institutions (SUNY Downstate Medical Center, Texas Oculoplastics Consultants, and Moorfields Eye Hospital)...
February 1, 2017: Orbit
https://www.readbyqxmd.com/read/28128841/management-of-congenital-nasolacrimal-duct-obstruction-with-anatomic-anomalies
#14
Robert W Arnold, Scott E Olitsky, Donny W Suh, Barry N Wasserman, Rudolph S Wagner
No abstract text is available yet for this article.
January 1, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28115826/interactive-navigation-guided-ophthalmic-plastic-surgery-the-utility-of-3d-ct-dcg-guided-dacryolocalization-in-secondary-acquired-lacrimal-duct-obstructions
#15
Mohammad Javed Ali, Swati Singh, Milind N Naik, Swathi Kaliki, Tarjani Vivek Dave
AIM: The aim of this study was to report the preliminary experience with the techniques and utility of navigation-guided, 3D, computed tomography-dacryocystography (CT-DCG) in the management of secondary acquired lacrimal drainage obstructions. METHODS: Stereotactic surgeries using CT-DCG as the intraoperative image-guiding tool were performed in 3 patients. One patient had nasolacrimal duct obstruction (NLDO) following a complete maxillectomy for a sinus malignancy, and the other 2 had NLDO following extensive maxillofacial trauma...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28112129/transconjunctival-dacryocystorhinostomy-an-aesthetic-approach
#16
Anasua Ganguly, Kesarpu Ramarao, Samir Mohapatra, Suryasnata Rath
PURPOSE: To report the anatomical and cosmetic outcome of transconjunctival dacryocystorhinostomy (TDCR) in an Asian Indian population. METHODS: TDCR was initially performed in cadaver eyes followed by patients with primary acquired nasolacrimal duct obstruction (NLDO). This was a prospective noncomparative case series of all consecutive TDCRs performed between April 2013 and June 2015. Outcome measures were anatomical patency, epiphora, presence of diplopia, aesthetic outcome, and health status...
December 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28009409/a-survey-of-management-of-congenital-nasolacrimal-duct-obstruction-by-pediatric-primary-health-care-providers-in-spain
#17
Alicia Galindo-Ferreiro, Teresa Palencia-Ercilla, Livia Mendoza Ferreira, Alberto Galvez-Ruiz, Denise C M Zornoff, Rajiv Khandekar, Silvana A Schellini
PURPOSE: To survey the management of congenital nasolacrimal duct obstruction (CNLDO) by pediatric primary health care providers in Spain. METHODS: This was a descriptive study using a web-based questionnaire to evaluate the perceptions of the members of the Pediatric Primary Care Society in Castilla-León, Spain (APAPCYL), regarding management of CNLDO. The questionnaire contained 14 direct questions and was sent by e-mail to all the pediatricians. All the responses were analyzed by the frequency of occurrence and percentages...
December 20, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28005798/simultaneous-bilateral-endonasal-endoscopic-dacryocystorhinostomy-a-low-cost-fast-and-successful-method
#18
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...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28005745/indian-survey-on-practice-patterns-of-lacrimal-and-eyelid-disorders-isupple-report-2-mitomycin-c-and-lacrimal-stents-in-dacryocystorhinostomy
#19
Akshay Gopinathan Nair, Saurabh Kamal, Aniruddha Agarwal
PURPOSE: The aim of the study was to assess practice patterns on the use of intraoperative Mitomycin-C (MMC) and lacrimal stents (intubation) in dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) among oculoplastic surgeons in India. The survey was aimed at obtaining data on the duration of stent placement and specifics regarding MMC usage namely, concentration and duration of application. METHODS: A survey that included questions on the management of lacrimal disorders was sent in April 2015 to members of the Oculoplastic Association of India, through an email communication...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28003973/cosmetic-evaluation-of-surgical-scars-after-external-dacryocystorhinostomy
#20
Syed Ali Raza Rizvi, Mohammad Saquib, Rakesh Maheshwari, Yogesh Gupta, Zafar Iqbal, Puneet Maheshwari
AIM: To evaluate the surgical scars of external dacryocystorhinostomy (DCR) cosmetically. METHODS: Totally 50 consecutive cases of primary acquired nasolacrimal duct obstruction (PANDO) were included in the study. Surgical scars were assessed by the patients and two independent observers at 2, 6 and 12wk postoperatively on the basis of visibility of the scars and still photographs respectively and were graded from 0-3. Kappa test was utilised to check the agreement of scar grading between the two observers...
2016: International Journal of Ophthalmology
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