Background: Diseases of the Lacrimal sac could be secondary to the disease of the neighboring areas, namely, that of nose, orbit, and the face. And yet, the diseases of the Lacrimal sac can spread to these areas. Aims and Objectives: The present study was undertaken to observe the effectiveness of dacryocystectomy in the management of chronic dacryocystitis. Materials and Methods: A total of 35 male and female patients with chronic dacryocystitis were part of the study after obtaining informed consent. All the cases underwent surgery under local anesthesia. Incision was made and lacrimal sac was exposed. Bone resection of lacrimal fossa was performed. This is followed by the incision of the mucosal flaps. Postoperatively, the patient is kept on antibiotic, anti-inflammatory drugs, nasal decongestant drops, and antibiotic eye drops. The skin wound is dressed daily. Irrigation of the Lacrimal sac is done daily from 2nd post-operative day onward with warm saline to which few drops of gentamicin is added. Skin sutures are removed on 5th day. The patients are followed regularly. Results: The success rate in our series is 97.14%. The follow-up period in our series ranged between 3 months and 13 months during the follow-up. As described by stallard (1980) and paymann (1982), in 33 of our cases, the initial bony window is fashioned with a lacrimal dissector by inserting it into the suture line between the maxilla and lacrimal bone in the lacrimal fossa and breaking the Lacrimal bone. Conclusion: The study results support that dacryocystectomy is effective in the management of chronic dacryocystitis. The study also recommends further studies with larger sample size in this area.
Background: Pterygium is a chronic degenerative condition, in which a triangular fibrovascular growth of bulbar conjunctiva encroaches on the cornea. It is a cause of concern for both the patient due to its unsightly appearance and the surgeon due to its tendency to recur. Aims and Objectives: The present study was undertaken to determine the effectiveness of conjunctival autograft as an alternative to normal surgical procedures to reduce the recurrence of pterygium. Materials and Methods: A total of 30 patients with primary and recurrent pterygia who attended the ophthalmology, outpatient department were taken up for the study after obtaining informed consent. A standard surgical technique essentially similar to that described by Kenyon et al., was followed in all patients with a few minor modifications. All surgeries are performed using an operating microscope. Results: The majority of patients belonged to the 3rd and 4th decades. In our study of 30 cases, we had a recurrence rate of 3.0%. The results and outcome of pterygium surgery in our series stress the importance of conjunctival autograft as the procedure of choice for the surgical management of primary and recurrent pterygium in Indian eyes. The success of conjunctival autograft may be related to the significant learning curve and different surgical techniques for these procedures. Conclusion: Conjunctival autograft proves to be a simple safe and inexpensive technique with low recurrence rates for pterygium in young people. Although conjunctival autograft is a time-consuming procedure and has a significant learning curve, it is the procedure of choice for pterygium. Further detailed studies with a higher sample size are needed in this area.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.