Ultrasound parameters of normal lacrimal sac and chronic dacryocystitis

Machado, Marco Antônio Cardoso; Silva, João Amaro Ferrari; Garcia, Eduardo Alonso; Allemann, Norma

doi:10.5935/0004-2749.20170042

Cited by 7 publications

(8 citation statements)

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“…Mittels 10-MHz-Ultraschallkopf kann z. B. eine chronische Dakryozystitis durch ihren hyperechogenen Charakter dargestellt werden [5], oder mittels Farbstoffdopplersonographie können charakteristische Flussänderungen gezeigt werden, wie z. B. erhöhte Flussgeschwindigkeiten bei akuter Dakryozystitis [2].…”

Section: Diskussionunclassified

Treatment-refractory epiphora after dacryocystorhinostomy—role of imaging and histopathology

et al. 2022

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Eine 73-jährige Patientin stellte sich wegen erneuter Epiphora sowie Rötung und Schwellung des rechten Lakrimalbereichs vor (. Abb. 1a). Die Schwellung war indolent, und es entleerte sich kein Pus. Fünf Monate zuvor war bereits eine endonasale Dakryozystorhinostomie extern durchgeführt worden. Der Visus lag bestkorrigiert beidseits bei 1,0; und der restliche morphologische Befund des vorderen und hinteren Augenabschnitts sowie der Augeninnendruck waren unauffällig. Bemerkenswert in der Vorgeschichte war ein Plattenepithelkarzinom der Zervix (pT1b1 pN0 [0/25]), das 2005 chirurgisch und mit adjuvanter Strahlentherapie behandelt wurde. Die Ophthalmologie 1

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Section: Diskussionunclassified

Treatment-refractory epiphora after dacryocystorhinostomy—role of imaging and histopathology

et al. 2022

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“…He also had exophthalmos, epiphora, and congestive conjunctiva. Chronic dacryocystitis is an infection of the lacrimal sac that is typically associated with nasolacrimal duct obstruction [12], which was an important clinical clue. Second, laboratory tests showed that renal dysfunction progressed slowly in the patient.…”

Section: Discussionmentioning

confidence: 99%

IgG4-related kidney disease (IgG4-RKD) with membranous nephropathy as its initial manifestation: report of one case and literature review

et al. 2019

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Background IgG4-related disease (IgG4-RD) often affects multiple organs and tissues, especially the kidneys, and is characterized by interstitial nephritis, obstructive nephropathy, and in rare cases glomerulopathy (including membranous nephropathy). Case presentation In this article, we report a patient with nephrotic syndrome as the only initial manifestation. Membranous nephropathy was confirmed by renal biopsy, but without any renal interstitial lesions. The nephrotic syndrome completely resolved after treatment with immunosuppressants but recurred after drug withdrawal, which was accompanied by acute kidney injury. Ultimately, IgG4-related interstitial nephritis with membranous nephropathy was confirmed by a second renal biopsy. After routine administration of steroids and cyclophosphamide, renal function returned to normal after 2 months, and nephrotic syndrome was ameliorated after 5 months. Conclusion Special attention should be paid to this rare condition in the clinical setting. In patients with membranous nephropathy (MN) that is accompanied by multi-system damage, impaired renal function, elevated IgG4 levels (absolute or relative value), negative PLA2R, and/or renal interstitial plasma cell infiltration, the possibility of IgG4-related kidney disease (IgG4-RKD) should be carefully assessed.

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“…10,147 The literature concerning ultrasound of lacrimal glands in pSS is scant, 20,37 but the method has been used to detect as used in other conditions affecting the lacrimal glands, such as solid lesions and dacryocysts. 74,122 Elastography is used to detect fibrosis in the pancreas and should be explored in pSS.…”

Section: Ultrasound (Sonography)mentioning

confidence: 99%

Primary Sjögren’s syndrome and the eye

Bjordal

Norheim

Rødahl

et al. 2020

Survey of Ophthalmology

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Primary Sjö gren syndrome is an autoimmune disease that mainly affects exocrine glands such as the salivary and lacrimal glands. In addition, systemic involvement is common.Primary Sjö gren syndrome is of particular interest to ophthalmologists as it constitutes an important differential diagnosis in conditions with dry eye disease. In addition, ocular tests for more precisely diagnosing and monitoring primary Sjö gren syndrome have become increasingly important, and new therapeutics for local and systemic treatment evolve as a result of increased understanding of immunological mechanisms and molecular pathways in the pathogenesis of primary Sjö gren syndrome. We provide an update of interest to ophthalmologists regarding pathogenesis, diagnosis, investigative procedures, and treatment options.

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Ultrasound parameters of normal lacrimal sac and chronic dacryocystitis

Abstract: Ultrasonography can differentiate normal lacrimal sacs from sacs compromised by chronic dacryocystitis, thus being useful as an adjunct to clinical examination and surgical planning.

Cited by 7 publications

References 0 publications

Treatment-refractory epiphora after dacryocystorhinostomy—role of imaging and histopathology

Treatment-refractory epiphora after dacryocystorhinostomy—role of imaging and histopathology

IgG4-related kidney disease (IgG4-RKD) with membranous nephropathy as its initial manifestation: report of one case and literature review

Primary Sjögren’s syndrome and the eye

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