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chronic epiphora

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https://www.readbyqxmd.com/read/27903249/management-lacrimal-sac-abscesses-using-lacrimal-probe-and-crawford-silicon-tube
#1
Lin Lin, Li Yang, Xiuming Jin, Yingying Zhao, Fangli Fan
BACKGROUND: Treatment of lacrimal sac abscess of the traditional surgical approach may result in complications from cutaneous fistula formation, damage the sac, cause skin scarring and even have the potential for inducing cicatricial ectropion. We designed a new treatment scheme that is expected to achieve internal drainage with the use of lacrimal probe and crawford silicon tube. METHODS: A prospective study was performed for the management of lacrimal sac abscesses...
November 30, 2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27800254/canaliculitis-awareness
#2
Melike Balıkoğlu Yılmaz, Emine Şen, Ebru Evren, Ufuk Elgin, Pelin Yılmazbaş
OBJECTIVES: To evaluate the demographic characteristics, treatment, and results of patients with canaliculitis. MATERIALS AND METHODS: Medical records including the demographic characteristics, clinical findings, and treatment outcomes of patients diagnosed and treated for canaliculitis between September 2009 and March 2014 were analyzed retrospectively. RESULTS: The median age of the 7 canaliculitis patients consisting of 4 women and 3 men was 49 (range 8-58) years...
January 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27688281/a-treatment-method-for-chronic-suppurative-lacrimal-canaliculitis-using-chalazion-forceps
#3
Xiuming Jin, Fangli Fan, Fan Zhang, Yingying Zhao, Renjian Hu
PURPOSE: The purpose of this study is to evaluate the effectiveness of chronic suppurative lacrimal canaliculitis treatment using chalazion forceps. PATIENTS AND METHODS: A prospective study was performed on consecutive patients who accepted the aid of chalazion forceps to treat chronic suppurative lacrimal canaliculitis. Two different treatment methods using chalazion forceps were performed according to the degree of lacrimal canaliculitis. Postoperatively, the patients received 0...
August 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27595013/how-important-is-the-etiology-in-the-treatment-of-epiphora
#4
Mahmut Oğuz Ulusoy, Sertaç Argun Kıvanç, Mehmet Atakan, Berna Akova-Budak
Purpose. There are several etiological factors that cause epiphora, and treatment differs according to the cause. We aimed to evaluate the etiology of epiphora and the treatment modalities of the affected patients. Materials and Methods. Data of patients who were referred to ophthalmology clinics for epiphora were retrospectively analyzed. All patients were evaluated for epiphora etiology, treatment modalities, and duration of complaints, after complete ophthalmologic examination. Results. This study consisted of 163 patients with a mean age of 64...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27559621/conjunctival-cicatrizing-disease-presenting-with-lacrimal-obstruction
#5
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
#6
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/27485631/aggregatibacter-aphrophilus-chronic-lacrimal-canaliculitis-a-case-report
#7
Marie Boulze-Pankert, Cécile Roux, Vanessa D Nkamga, Frédérique Gouriet, Marie-Christine Rojat-Habib, Michel Drancourt, Louis Hoffart
BACKGROUND: Chronic canaliculitis is often misdiagnosed as conjunctivitis, delaying proper documentation and management. Aggregatibacter aphrophillus has not been implicated in chronic canaliculitis. CASE PRESENTATION: We report a case of unilateral chronic epiphora associated with chronic lacrimal canaliculitis resistant to prolonged topical antibiotic treatment in a 65-year-old woman without notable medical history. Canaculotomy, curettage with removal of concretions and tubing with silicone stent for six weeks resolved this chronic infection...
2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27473439/chronic-tarsal-conjunctivitis
#8
Nicholas Cook, Fizza Mushtaq, Christina Leitner, Andrew Ilchyshyn, George T Smith, Ian A Cree
BACKGROUND: Toxicity is rarely considered in the differential diagnosis of conjunctivitis, but we present here a new form of toxic conjunctivitis with unusual clinical features. Between 2010 and 2013, a new clinical presentation of chronic conjunctivitis unresponsive to normal treatment was noted within a Primary Care Ophthalmology Service. METHODS: Retrospective review of case records and histopathology results. RESULTS: A total of 55 adult patients, all females, presented with epiphora and stickiness...
2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/26955261/microbiology-of-primary-acquired-nasolacrimal-duct-obstruction-simple-epiphora-acute-dacryocystitis-and-chronic-dacryocystitis
#9
Kanograt Pornpanich, Panitee Luemsamran, Amornrut Leelaporn, Jiraporn Santisuk, Nattaporn Tesavibul, Buntitar Lertsuwanroj, Sumalee Vangveeravong
PURPOSE: The aim of this study was to determine the microbiology of primary acquired nasolacrimal duct obstruction (PANDO) and its antimicrobial susceptibilities. METHODS: Ninety-three patients (100 eyes) diagnosed with PANDO, categorized as acute, chronic dacryocystitis, or simple epiphora, were prospectively enrolled. Lacrimal sac contents were cultured for aerobic and anaerobic bacteria and fungi. Cultured organisms were identified, and antimicrobial susceptibility testing was performed for aerobic bacteria...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/26906707/-a-comparative-study-of-lacrimal-magnetic-resonance-hydrography-and-lacrimal-endoscopy-examination-in-the-diagnosis-and-treatment-of-lacrimal-duct-obstructive-diseases
#10
COMPARATIVE STUDY
N Xiang, R Liu, S J Zhang, W K Hu, X Y Zhan, B Luo, T Ai
OBJECTIVE: To evaluate the diagnostic value and treatment guidance of lacrimal magnetic resonance hydrography (LMRH) and lacrimal endoscopy examination in lacrimal duct obstruction. METHODS: A retrospective analysis of clinical and imaging data of 59 patients with epiphora who had LMRH examination in Tongji Hospital during June 2013 and January 2014. Multiplanar reconstruction (MPR) and maximum intensity projection (MIP) were used to process the three dimensions T2-weighted images (T2WI)...
February 2016: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/26863042/fungus-ball-of-the-maxillary-sinus-presenting-with-epiphora
#11
Ju Eun Cho, Ji Sung Shim, Jong Yang Kim, Joon Bum Joo, Woo Hyun Lee
The authors report a case of fungus ball of the maxillary sinus with bone erosion presenting with epiphora, which was diagnosed after treatment failure using silicone intubation for nasolacrimal duct obstruction. Symptoms of sinus fungus ball are similar to those of chronic bacterial rhinosinusitis, although occasionally asymptomatic. To our knowledge, epiphora has never been reported as a symptom of sinus fungus ball. The purpose of this report is to emphasize the importance of considering sinonasal causes when evaluating epiphora patients, as well as to suggest the use of preoperative CT scans for a more accurate diagnosis and to prevent unnecessary procedures...
February 9, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26686212/nasolacrimal-duct-obstruction-caused-by-lymphoproliferative-infiltration-in-the-course-of-chronic-lymphocytic-leukemia
#12
Ralph Litschel, Marco Siano, Abel-Jan Tasman, Sergio Cogliatti
BACKGROUND: Endoscopic dacryocystorhinostomy (DCR) is the standard treatment of nasolacrimal duct obstruction. Only in rare cases, blockage may be caused by malignant tumors and even more exceptionally by lymphatic neoplasms so that biopsies are not routinely taken for diagnostic purposes. METHODS: A computerized retrieval system was used for this retrospective study to identify all patients with histologically documented lymphoproliferative infiltration in the lacrimal drainage system from 2001 to 2009...
January 2015: Allergy & Rhinology
https://www.readbyqxmd.com/read/26588207/a-case-of-a-bilateral-cicatricial-upper-eyelid-entropion-after-hematopoietic-stem-cell-transplantation-in-mucopolysaccharidosis-type-i
#13
Simon Dulz, Lars Wagenfeld, Gisbert Richard, Johanna Schrum, Nicole Muschol, Matthias Keserü
Minor eyelid abnormalities are commonly encountered in mucopolysaccharidosis, but only rarely leading to a clinically relevant situation. The authors report a clinical case of severe bilateral cicatricial entropion of the upper eyelids, leading to recurrent conjunctival infections, corneal erosion, persistent epiphora, and a major decline in life quality in a 7-year-old boy with mucopolysaccharidosis type I who underwent hematopoietic stem cell transplantation at 1.6 years old. A bilateral anterior lamellar repositioning including eyelid split and cryoepilation was performed to correct bilateral upper eyelid entropium and trichiasis...
November 19, 2015: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26454680/a-multidisciplinary-orbit-sparing-treatment-approach-that-includes-proton-therapy-for-epithelial-tumors-of-the-orbit-and-ocular-adnexa
#14
Emma B Holliday, Bita Esmaeli, Jamie Pinckard, Adam S Garden, David I Rosenthal, William H Morrison, Merrill S Kies, G Brandon Gunn, C David Fuller, Jack Phan, Beth M Beadle, Xiarong Ronald Zhu, Xiaodong Zhang, Steven J Frank
PURPOSE: Postoperative radiation is often indicated in the treatment of malignant epithelial tumors of the orbit and ocular adnexa. We present details of radiation technique and toxicity data after orbit-sparing surgery followed by adjuvant proton radiation therapy. METHODS AND MATERIALS: Twenty patients underwent orbit-sparing surgery followed by proton therapy for newly diagnosed malignant epithelial tumors of the lacrimal gland (n=7), lacrimal sac/nasolacrimal duct (n=10), or eyelid (n=3)...
May 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/25902392/lymphoepithelial-carcinoma-of-the-nasolacrimal-duct-clinical-radiologic-and-immunopathologic-features
#15
Frederick A Jakobiec, Anna M Stagner, Peter A D Rubin
Undifferentiated lymphoepithelial carcinoma (exhibiting both begin lymphoid and malignant epithelial components) most commonly arises in the head and neck, especially in the nasopharynx. It may also be encountered in various ocular adnexal sites, including the nasolacrimal duct. A 63-year-old woman developed a swelling in the region of the right lacrimal sac accompanied by epiphora. CT scanning revealed an enlargement of the nasolacrimal duct from the lacrimal sac to the inferior nasal meatus. A biopsy during dacryocystorhinostomy for symptomatic epiphora revealed hypercellular sheets of small lymphocytes which were interpreted as evidence for a chronic dacryocystitis...
April 20, 2015: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25795742/a-rare-case-of-bilateral-nasolabial-cysts
#16
REVIEW
Priya Sethukumar, Ali Taghi, Romana Kuchai
Nasolabial cysts are rare non-odontogenic cystic lesions representing around 0.7% of all maxillofacial cysts. They usually present as unilateral painless swellings, sometimes with epiphora and dacryocystitis as well as pain in cases of rapid growth or infection. We have reviewed the literature and present an extremely rare case of bilateral nasolabial cysts in a young Afro-Caribbean man presenting with chronic nasal blockage, epiphora and rhinorrhoea. We describe our successful surgical management using a sublabial approach for complete excision, leading to a disease-free outcome at 6 months follow-up...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25687704/teary-eyes-due-to-21-pence
#17
Phui Yee Wong, Tze Choong Charn, Andre Ismail, Taran Tatla
A woman in her late 70s with chronic bilateral epiphora under ophthalmology review was referred to our department for dacryocystorhinostomy after punctoplasty and detection of nasolacrimal duct obstruction. A CT scan of the paranasal sinuses for preoperative planning revealed complete opacification of the right maxillary, anterior ethmoid, frontal and sphenoid sinuses, left septal deviation and an incidental finding of foreign bodies in the right anterior nasal airspace. She proceeded with functional endoscopic sinus surgery (FESS) and removal of foreign bodies...
February 16, 2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25601283/nasal-eosinophilic-angiocentric-fibrosis-with-orbital-extension
#18
Mohammad Faramarzi, Mohammad Hossein Dadgarnia, Mansour Moghimi, Hadi Sharouny, Nasim Behniafard
Eosinophilic angiocentric fibrosis (EAF) is an extremely rare, chronic, benign, idiopathic disorder that mostly affects the upper respiratory tract, particularly the nasal cavity, and features progressive submucosal perivascular fibrosis. To the best of our knowledge, only seven cases of EAF with orbital involvement have been reported. We report a case of sinonasal EAF with orbital extension that presented with left nasolacrimal duct obstruction. A 35-year-old man presented with left epiphora, proptosis, anterolateral globe displacement and nasal obstruction...
September 2015: Head and Neck Pathology
https://www.readbyqxmd.com/read/25478271/osteoma-of-the-medial-wall-of-the-maxillary-sinus-a-primary-cause-of-nasolacrimal-duct-obstruction-and-review-of-the-literature
#19
Athanasios Saratziotis, Enzo Emanuelli
A 74-year-old male patient presented to the outpatient department with left-sided epiphora and chronic dacryocystitis, without any history of head trauma or previous nasal or paranasal sinuses surgery. No abnormalities were noted at the time with the use of nasal endoscopy. The computed tomography scan however revealed an osteoma of the medial wall of the left maxillary sinus. An endonasal endoscopic dacryocystorhinostomy (DCR) with osteoma removal by using a drill with temporary silicone stenting of the nasolacrimal duct system was performed...
2014: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/25312093/dacryocystitis-following-a-nasolacrimal-duct-obstruction-caused-by-an-ectopic-intranasal-tooth-in-a-dog
#20
Katrin Voelter-Ratson, Regine Hagen, Stefan Grundmann, Bernhard Martin Spiess
PURPOSE: To describe a nasolacrimal duct (NLD) obstruction secondary to an ectopic tooth in a 5-year-old male Border collie. The dog was presented with a 1-month history of mucopurulent discharge from the left eye (OS) preceded by a lifelong history of epiphora OS. Treatment with neomycin/polymyxin B/dexamethasone ophthalmic solution had not improved the clinical signs, and the NLD was not patent when irrigated by the referring veterinarian. METHODS: A complete ophthalmologic examination was performed followed by dacryocystorhinography and computed tomography (CT)...
September 2015: Veterinary Ophthalmology
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