Behavior and outcomes of 70 adult lacrimal sac mucoceles

Nayak, Arpita; Ali, Mohammad Javed; Tripathy, Devjyoti; Mohapatra, Samir; Bansal, Oshin; Rath, Suryasnata

doi:10.1080/01676830.2020.1767155

Cited by 3 publications

(7 citation statements)

References 10 publications

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“…However, additional management for associated nasolacrimal duct obstruction should be performed, where required. For cases with associated nasolacrimal duct obstruction, lacrimal duct intubation or DCR should be performed in addition to fistula removal, depending on the type of abnormalities present [23,31] . In our present case, the patient was performed with fistula excision without lacrimal duct intubation or DCR due to no nasolacrimal duct obstruction.…”

Section: Dear Editormentioning

confidence: 99%

Congenital lacrimal fistulas with secondary infection mimicking acute dacryocystitis: a case report and literature review

Xu¹,

Shi²,

Ye³

et al. 2022

Int J Ophthalmol

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Section: Dear Editormentioning

confidence: 99%

Congenital lacrimal fistulas with secondary infection mimicking acute dacryocystitis: a case report and literature review

Xu¹,

Shi²,

Ye³

et al. 2022

Int J Ophthalmol

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“…1 Lacrimal sac compression or probing can be effective for congenital obstructions, and a dacryocystorhinostomy is usually required for the adult counterpart. 1,3…”

Section: Introductionmentioning

confidence: 99%

“…Such a swelling usually develops following a congenital or acquired nasolacrimal duct (NLD) obstruction. [1][2][3][4] In the absence of a kink effect at the common canaliculus, gentle pressure on the lacrimal sac area would decompress the swelling. In the presence of a kink, the swelling gets encysted and would not empty its contents.…”

Section: Introductionmentioning

confidence: 99%

“…5 The diagnosis of a dacryocystocele or a mucocele is generally made on clinical examination alone. 1 Lacrimal sac compression or probing can be effective for congenital obstructions, and a dacryocystorhinostomy is usually required for the adult counterpart. 1,3 Several pathologies not related to the lacrimal drainage system can present with similar medial canthal swellings.…”

Section: Introductionmentioning

confidence: 99%

“…1 Lacrimal sac compression or probing can be effective for congenital obstructions, and a dacryocystorhinostomy is usually required for the adult counterpart. 1,3 Several pathologies not related to the lacrimal drainage system can present with similar medial canthal swellings. Epiphora can co-exist secondary to the compression effect of such swellings on the normal lacrimal drainage.…”

Section: Introductionmentioning

confidence: 99%

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Clinico-radiologic characteristics of lacrimal sac area swellings misdiagnosed as dacryocystocele or mucocele

Diab

Ali

Mohammed

2022

European Journal of Ophthalmology

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Purpose Several non-lacrimal lesions can present with lacrimal sac area swelling mimicking a dacryocystocele or mucocele with a possibility of misdiagnosis. This study investigates the clinic-radiologic characteristics of the mimicking conditions compared to true lacrimal sac distension. Design Retrospective, comparative, interventional case series Participants Patients referred by primary care ophthalmologists between January 2015 and October 2021 with a misdiagnosis of dacryocystocele or lacrimal sac mucocele (n = 39) and an age-matched group of proven true lacrimal sac swelling (TLS group, n = 44). Methods Data collected included demographics, presenting features, investigations, management, histopathology, and outcomes. Both groups were statistically compared for several clinical and radiological variables. Results Final diagnoses in the mimicking group were skin/subcutaneous swellings (14/39, 35.9%), vascular malformations (10/39, 25.6%), inferomedial anterior orbital cysts (7/39, 17.9%), sino-orbital masses (5/39, 12.8%). Female gender (<0.001), epiphora (p = 0.001), and discharge (p < 0.001) were significantly more frequent in the TLS group. The mimicking group was more likely to be associated with a longer swelling duration (p < 0.001), a swelling extending beyond the lacrimal sac area (p <0.001), orbital signs (p <0.001), and periorbital abnormality. Non-patent lacrimal irrigation (p < 0.001) was significantly more frequent in the TLS group. On imaging, all swellings in the mimicking group were separate from the lacrimal pathway and 94.9% (37/39) extended beyond the lacrimal sac fossa. Conclusion Various cutaneous, subcutaneous, vascular, inferomedial orbital cystic, and sinonasal pathologies can present with lacrimal sac area swelling and mimic a TLS. A high index of suspicion, a thorough clinical evaluation and proper imaging are essential to avoid a misdiagnosis.

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Congenital Nasolacrimal Duct Obstruction Update Study (CUP Study): Paper 4—Infantile Acute Dacryocystitis (InAD)—Presentation, Management, and Outcomes

Bothra

Ali

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To study the presentation, management, and outcomes of infantile acute dacryocystitis. Methods: Retrospective study of infants diagnosed with acute dacryocystitis over a period from June 2016 to December 2019. Data collected include demographics, clinical history, presenting features, management, complications, and outcomes. Treatment provided was intensive medical care followed by early probing under endoscopic guidance. Further interventions, where needed, were performed based on intraoperative findings during probing. Successful outcomes were defined as resolution of infection, subjective relief from epiphora, and anatomical patency determined by a normal fluorescein dye disappearance test. Results: Twenty-seven eyes of 27 infants were analyzed during the study period. The mean age of infants was 3.26 months, and males were more affected than females (male:female 15:12). The mean duration of symptoms was 4.66 weeks, with 96% (26/27) presenting with symptoms of redness, watering, discharge, and swelling. Preseptal cellulitis was seen in 74% (20/27) infants, lacrimal abscess in 67% (18/27) infants, and lacrimal fistula in 37% (10/27). Most infants had complex congenital nasolacrimal duct obstruction (62%, 13/27), of which 7 also had intranasal cysts. One infant successfully underwent endoscopic dacryocystorhinostomy. At a mean follow-up period of 7.95 months, successful outcomes were observed in 90.4% (19/21) infants. The 2 failed cases were complex congenital nasolacrimal duct obstruction with associated sac diverticula and are scheduled for an endoscopic dacryocystorhinostomy. Conclusion: Infantile acute dacryocystitis is a distinct clinical entity. The outcomes of systemic antibiotics and early probing are excellent.

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Behavior and outcomes of 70 adult lacrimal sac mucoceles

Cited by 3 publications

References 10 publications

Congenital lacrimal fistulas with secondary infection mimicking acute dacryocystitis: a case report and literature review

Congenital lacrimal fistulas with secondary infection mimicking acute dacryocystitis: a case report and literature review

Clinico-radiologic characteristics of lacrimal sac area swellings misdiagnosed as dacryocystocele or mucocele

Congenital Nasolacrimal Duct Obstruction Update Study (CUP Study): Paper 4—Infantile Acute Dacryocystitis (InAD)—Presentation, Management, and Outcomes

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