Nasolacrimal Sac Diverticulum: A Case Series and Literature Review

Enright, Nicholas J; Brown, Sebastian; Rouse, Hannah; McNab, Alan A.; Hardy, Thomas G.

doi:10.1097/iop.0000000000001156

Cited by 10 publications

(7 citation statements)

References 19 publications

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“…difference shows that 75% of dacryocystitis patients are females. 5,6 In this particular case series, we tried to find out the results of Dacryocystorhinostomy in patients with fistulous Dacryocystitis.…”

Section: Open Accessmentioning

confidence: 99%

Surgical Outcome of Dacrystorhinostomy in Fistulous Dacryocystitis

et al. 2021

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Purpose: To study the surgical outcomes of Dacryocystorhinostomy (DCR) in fistulous dacryocystitis. Study Design: Quasi Experimental study. Place and Duration of Study: The detailed study was carried out in the Institute of Ophthalmology, Liaquat University Hospital Jamshoro, between September 2018 to August 2020. Material and Methods: We analyzed the histories of 30 patients taking the DCR procedure and noted their mean age, standard deviation, follow-up time, complications and other details. We also reported the intraoperative anatomical results, postoperative analysis, and variable groups vs. outcomes post-surgery using SPSS Version 20. Results: The mean patient's age was 44.2 ± 4.13years, where males to female percentages were 27% to 73%. We noted significant changes in patients with a success rate of 87% displayed by no relieved epiphora and lacrimal patency in 1 month, 3 months, and 6 months. The mean time of the patients was 4 months varying between 1 to 8 (months) and the variable group values vs. surgical outcomes showed no significant association between the variables (p-value ranging from 0.195 to 0.935). Conclusion: Complications resulting in some patient’s post-surgery are manageable and the surgical technique has a good success rate. Key Words: (DCR) Dacryocystorhinostomy, lacrimal Patency, fistulous Dacryocystitis, Scarring.

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Section: Open Accessmentioning

confidence: 99%

Surgical Outcome of Dacrystorhinostomy in Fistulous Dacryocystitis

et al. 2021

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“…A thorough study of the patient's medical history, clinical examination, and maybe imaging investigations such as lacrimal syringing or dacryocystography are required for proper diagnosis. Treatment options are determined on the underlying cause and the degree of the blockage [11].…”

Section: Congenital Causesmentioning

confidence: 99%

Etiology, Diagnosis and Treatment for Puncta and Canalicular Obstruction: A Comprehensive Analysis

Papadopoulos,

Asproudis,

Tsourouki

et al. 2024

JAMMR

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Puncta and canalicular obstruction is a common ophthalmological condition that can lead to significant morbidity and impaired tear drainage. This comprehensive analysis aims to provide an overview of the etiological factors and risk factors associated with this condition, along with a detailed examination of the anatomy of the lacrimal drainage system. Diagnostic techniques for assessing puncta and canalicular obstruction, including clinical evaluation, patient history, imaging techniques, and tear drainage tests, are discussed. Additionally, various treatment options for managing this condition are presented, including the management of specific etiological factors such as inflammation, infections, neoplastic conditions, and anatomical abnormalities. The article also addresses potential complications and provides insights into the prognosis of puncta and canalicular obstruction. By elucidating the multifaceted aspects of this condition, this comprehensive analysis aims to contribute to the understanding and management of puncta and canalicular obstruction, ultimately improving patient outcomes.

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“…There are two options for restoring tearing: conservative and surgical. Many groups of authors hold the opinion that conservative treatment is unpromising and does not justify itself: probing, bouching, rinsing and drug therapy have a temporary and unstable effect, and numerous manipulations in TD can lead to perforation of their walls, granulation and structures [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…The common treatment for CD is surgery [3]. Currently, the following methods are used: transcanalicular, with external and endonasal access to the lacrimal sac, each has many modifications, has its advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Method of surgical treatment of chronic dacryocystitis and its effectiveness in monitoring patients in the early postoperative period

Zabolotnyi

Minaiev

2021

SR:MS

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The aim. To develop a method for endonasal endoscopic dacryocystorhinostomy (EEDCR) and evaluate its effectiveness in monitoring patients in the early postoperative period. Materials and methods. The study group (1st group) consisted of 45 patients with chronic dacryocystitis (CD), who underwent EEDCR according to the developed method, the comparison group (2nd group) included 36 patients who, after performing the developed EEDCR, an implant was installed in the dacryorhinostoma zone. The control group (3rd group) included 28 patients who underwent EEDCR according to the generally accepted method. Patients of groups 1 and 2 were divided into 2 subgroups: 1A and 2A included patients who underwent computed tomography of the lacrimal ducts in the preoperative period according to the developed method, and patients of subgroups 1B and 2B – according to the traditional algorithm. Reliably the best results of restoring lacrimation function were in subgroups 1A and 1B already from the 3rd day of observation after surgery, as well as in the subsequent periods of observation. The worst values of lacrimation function were recorded in the control clinical group with a statistically significant difference from other groups (p<0.05). When comparing the results of treatment of subgroups 1A with 1B and 2A with 2B, the best indicators were observed in subgroups 1A and 2A, but due to the small sample of patients, statistical significance in the differences could not be achieved (p>0.05). Results. A method of EEDCR has been developed, a comparative analysis of groups of patients according to the above indicators has been performed when observing patients in the early postoperative period. On the first day after surgery, the mean score of the severity of lacrimation according to the Munk scale significantly decreased in all groups and gradually decreased on the 7th day and after 2 weeks (p<0.05). Significantly better indicators were in subgroups 1A and 1B in the entire early postoperative period (p<0.05). The degree of edema of the mucosa of the dacryorhinostoma zone and the middle nasal meatus at all periods of observation was the lowest in subgroup 1A from 3rd day and in each subsequent period of observation with a statistically significant difference from other groups (p<0.05). On the 7th day, significantly more patients with mucous discharge in the area of dacryorhinostoma and middle nasal meatus were observed in subgroup 2B and in 3rd group (p<0.05), and significantly better results were noted in subgroup 1A, where more than 2/3 patients had no mucous discharge. Reliably the best results of restoring lacrimation function were in subgroups 1A and 1B already from the 3rd day of observation after surgery, as well as in the subsequent periods of observation. The worst values of lacrimation function were recorded in the control clinical group with a statistically significant difference from other groups (p<0.05). When comparing the results of treatment of subgroups 1A with 1B and 2A with 2B, the best indicators were observed in subgroups 1A and 2A, but due to the small sample of patients, statistical significance in the differences could not be achieved (p>0.05). Conclusions. The developed EEDCR method complies with the principles of sparing surgery, is effective in the treatment of patients with CD, while there is a faster rate of recovery of the lacrimal function and mucosa, improves the quality of life of patients

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Nasolacrimal Sac Diverticulum: A Case Series and Literature Review

Cited by 10 publications

References 19 publications

Surgical Outcome of Dacrystorhinostomy in Fistulous Dacryocystitis

Surgical Outcome of Dacrystorhinostomy in Fistulous Dacryocystitis

Etiology, Diagnosis and Treatment for Puncta and Canalicular Obstruction: A Comprehensive Analysis

Method of surgical treatment of chronic dacryocystitis and its effectiveness in monitoring patients in the early postoperative period

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