2,484 results match your criteria Dacryoadenitis


Immediate Endoscopic Dacryocystorhinostomy in Patients With New Onset Acute Dacryocystitis.

Laryngoscope 2021 Jun 14. Epub 2021 Jun 14.

Department of Orbital and Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Objectives: To compare the results of immediate endoscopic dacryocystorhinostomy (En-DCR) and delayed En-DCR in the treatment of new-onset acute dacryocystitis (AD).

Study Design: This report describes a prospective randomized controlled interventional case series.

Methods: Between April 2009 and May 2019, 176 adults presenting at a tertiary eye care center with new-onset AD manifesting within the last 48 hours were randomized into two groups. Read More

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Acute dacryocystitis retention syndrome due to Epstein-Barr virus.

Arch Soc Esp Oftalmol (Engl Ed) 2021 Jun 29;96(6):321-325. Epub 2020 Nov 29.

Departamento de Oftalmología, Hospital Universitario Río Hortega, Valladolid, Spain.

A 4 year-old boy with no previous history of eye or nasolacrimal disease was referred due to a painful mass on his left inner canthus, of three days onset, with no improvement in spite of oral antibiotics. On examination eyelid oedema with periocular hyperaemia was noted. Lacrimal sac palpation was painful and tonsillar exudation was reported. Read More

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Results of endoscopic endonasal dacryocystorhinostomy: A prospective cohort study.

J Pak Med Assoc 2021 May;71(5):1420-1423

Department of ENT, Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.

Objective: To evaluate the success rate of endoscopic endonasal dacryocystorhinostomy.

Methods: The prospective cohort study was conducted at the Ophthalmology and Otorhinolaryngology departments, Shifa Foundation Community Health Centre, Islamabad, Pakistan, from October 2017 to September 2019, and comprised chronic dacryocystitis patients who underwent endoscopic endonasal dacryocystorhinostomy. Endoscopic dacryocystorhinostomy with or without lacrimal intubation was performed under general anaesthesia. Read More

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Non-infectious Dacryoadenitis.

Surv Ophthalmol 2021 May 31. Epub 2021 May 31.

Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Dacryoadenitis is an inflammation of the lacrimal gland that may have various etiologies with similar presentations. Despite more recent elucidation of specific causes, the management has remained largely unchanged. Hence, the condition remains under biopsied with the rationale that empirical treatment with corticosteroids is effective for many of the causes. Read More

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Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis.

J Clin Med 2021 May 17;10(10). Epub 2021 May 17.

Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon 35015, Korea.

Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery.

Methods: A retrospective review of medical records was performed on consecutive patients who underwent primary early EnDCR (within 1 week) for AD between May 2010 and June 2020 (AD group) and an age- and gender-matched control group of NLDO patients who underwent EnDCR (non-AD group). The primary outcome measures were the surgical outcomes at the final follow-up examination. Read More

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Agger nasi mucocele cause nasolacrimal duct obstruction and chronic dacryocystitis: clinical profile, management and outcome.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Department of Neurosciences, Faculty of Medicine and Surgery, University of Padova, Padova, Italy.

Epiphora is the first symptom of acquired nasolacrimal duct obstruction (NLDO), which may be due to various causes, including paranasal sinuses and tumours of the nasal cavity. A 28-year-old male patient presented chronic dacryocystitis with left-sided epiphora. Endoscopically, a bulging of the lateral nasal wall at the left-sided agger nasi area was noted. Read More

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Effect of care bundles on postoperative pain, negative emotions, and self-care ability of patients with acute dacryocystitis.

Am J Transl Res 2021 15;13(4):2794-2803. Epub 2021 Apr 15.

Department of Ophthalmology, The First Affiliated Hospital of Chongqing, Chongqing Key Laboratory of Ophthalmology, Chongqing Institute of Ophthalmology Chongqing 400069, China.

Aim: This study aimed to investigate the effect of care bundles on the postoperative pain, negative emotions, and self-care ability of patients with acute dacryocystitis.

Methods: We recruited 103 patients with acute dacryocystitis undergoing surgery in our hospital from July 2018 to October 2019 in this study. Among them, 55 patients received care bundles (the research group, RG) and the other 48 received conventional care (the control group, CG). Read More

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SARS-CoV-2 Impairs Vision.

J Neuroophthalmol 2021 06;41(2):166-169

Klinik Landstrasse (JF), Messerli Institute, Vienna, Austria; Disciplina de Neurociência (FAS, CASC), Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil; Programa de Estudos Pós-Graduado em Fonoaudiologia (ACF), Pontifícia Universidade Católica de São Paulo (PUC-SP), São Paulo, Brazil; and Departamento de Fonoaudiologia (ACF), Escola Paulista de Medicina/Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil.

Objectives: Affection of the central nervous system and the eyes is increasingly recognized as manifestations of a SARS-CoV-2 infection (COVID-19). This review aims at summarizing and discussing recent advances concerning causes and locations of impaired vision because of an infection with SARS-CoV-2.

Methods: On a literature search through PubMed and ScholarOne, all available publications about COVID-19 patients with impaired vision were retrieved. Read More

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The predictive value of nasolacrimal sac biopsy in endoscopic dacryocystorhinostomy.

Ann Med Surg (Lond) 2021 May 16;65:102317. Epub 2021 Apr 16.

Ophthalmology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Background: During dacryocystorhinostomy (DCR), the lacrimal sac wall biopsy is not routinely performed in our hospital, but it is recommended if there is a suspicion of underlying disease other than preoperatively or intraoperatively chronic inflammation.

Objective: Most of patients with epiphora have different causes of nasolacrimal duct obstruction (NLDO). This study aims to examine how important routine lacrimal sac biopsy is during endoscopic DCR surgery. Read More

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Natural killer T-cell lymphoma causing bilateral recurrent recalcitrant dacryocystitis.

Orbit 2021 May 11:1-5. Epub 2021 May 11.

Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.

A 35-year-old female with a history of chronic extensive rhinosinusitis, previously treated twice with functional endoscopic sinus surgery, presented with recurrent dacryocystitis despite prior dacryocystorhinostomy. Histopathological specimens taken at the most recent sinus surgery demonstrated a lymphocytic inflammatory reaction without evidence of angiodestruction or necrosis. Flow cytometry was normal. Read More

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Rhinosporidiosis of the lacrimal sac masquerading as chronic dacryocystitis: a rare presentation.

Autops Case Rep 2021 Jan 28;11:e2020214. Epub 2021 Jan 28.

All India Institute of Medical Sciences, Department of Pathology, Bhubaneswar, Odisha, India.

Rhinosporidiosis is a chronic infection of the mucous membrane caused by the , which infects through transepithelial penetration. Although described worldwide, this entity is mostly found in the western hemisphere, afflicting young people, predominantly males, associated in many cases with recreational or professional contact with bath in ponds, rivers, or stagnant waters. The clinical features are varied depending on the affected membrane, in some cases mimicking other diseases postponing the correct diagnosis. Read More

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January 2021

Mascara-induced nasolacrimal duct obstruction.

BMJ Case Rep 2021 May 7;14(5). Epub 2021 May 7.

Department of Ophthalmology, Addenbrooke's Hospital, Cambridge, UK.

A 35-year-old woman underwent left external dacryocystorhinostomy (DCR) following a recent bout of left acute dacryocystitis. She had a right DCR 14 years earlier. Her relatively young age of presentation prompted suspicion of secondary nasolacrimal duct obstruction and, although the left lacrimal sac appeared macroscopically normal peroperatively, a lacrimal sac biopsy was taken. Read More

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Efficacy and Safety of Inhalation Sedation during Office Probing for Congenital Nasolacrimal Duct Obstruction.

J Clin Med 2021 Apr 20;10(8). Epub 2021 Apr 20.

Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.

We compared the effectiveness of inhaled sevoflurane versus physical restraint during probing in children with congenital nasolacrimal duct obstruction (CNLDO). We performed a retrospective review of children with CNLDO who underwent office probing procedures by a single surgeon under sedation or restraint. Patients' characteristics at the time of probing, including age, sex, laterality, previous non-surgical treatment, presence of dacryocystitis, outcomes of probing, and complications were compared between the sedation and restraint groups. Read More

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Dacryoendoscopy-assisted incision of Hasner's valve under nasoendoscopy for membranous congenital nasolacrimal duct obstruction after probing failure: a retrospective study.

BMC Ophthalmol 2021 Apr 19;21(1):182. Epub 2021 Apr 19.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: To introduce a treatment option: dacryoendoscopy-assisted incision of Hasner's valve under nasoendoscopy and assess its efficacy in treating membranous congenital nasolacrimal duct obstruction (CNLDO) in children older than 1 year with history of initial probing failure.

Methods: 52 eyes of 43 children with membranous CNLDO who underwent dacryoendoscopy-assisted incision of Hasner's valve under nasoendoscopy between May 2012 and October 2020 were enrolled in this retrospective study. All participants were older than 1 year and all the eyes had gone through probing at least once but still had symptoms of epiphora and discharge. Read More

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Involvement of Laryngopharyngeal Reflux in Ocular Diseases: A State-of-the-Art Review.

J Voice 2021 Apr 10. Epub 2021 Apr 10.

Anatomy and Cell Biology Department, Faculty of Medicine, Research Institute for Health Sciences and Technology, University of Mons (UMONS), 7000, Mons, Belgium; Pediatrics Department. Complexo Hospitalario Universitario A Coruña (CHUAC), 15006, A Coruña, Galicia, Spain.

Background: Laryngopharyngeal reflux-associated symptoms embrace a wide variety of head and neck manifestations. Its participation in eye disorders has recently been postulated, and there is currently no consensus in this regard. The aim of this manuscript is to review the role of reflux in the development of ocular signs and symptoms, and its physio-pathological mechanisms. Read More

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Stenotrophomonas maltophilia-Associated Dacryocystitis in Leukemia-Infiltrated Lacrimal Sacs: Case and Review of Literature.

Ophthalmic Plast Reconstr Surg 2021 Mar 24. Epub 2021 Mar 24.

Division of Ophthalmology, Albany Medical Center Department of Pathology, Albany Medical Center Ophthalmic Plastic Surgery, Albany, New York, U.S.A.

A 91-year-old female with a history of chronic lymphocytic leukemia developed recurrent bouts of bilateral dacryocystitis. She underwent incision and drainage of the lacrimal sac with culture demonstrating the rare bacteria Stenotrophomonas maltophilia. She underwent subsequent dacryocystectomy with biopsy revealing bilateral involvement of chronic lymphocytic leukemia in the lacrimal sac. Read More

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Management of Pediatric Acute Dacryocystitis.

Ophthalmic Plast Reconstr Surg 2021 Mar 24. Epub 2021 Mar 24.

Division of Ophthalmology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A. Department of Ophthalmology, Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Purpose: To analyze the clinical presentation, course, and management in a large cohort of pediatric acute dacryocystitis subjects and to examine whether hospitalization and urgent surgical intervention are indeed mandatory.

Methods: A retrospective analysis of all pediatric subjects diagnosed with dacryocystitis at the Children's Hospital of Philadelphia over a 12-year period (2009-2020).

Results: One-hundred sixty-nine pediatric acute dacryocystitis patients were included in this study. Read More

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Masses of the Lacrimal Gland: Evaluation and Treatment.

J Neurol Surg B Skull Base 2021 Feb 18;82(1):100-106. Epub 2021 Feb 18.

Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, United States.

Lacrimal gland lesions account for approximately 9 to 10% of all biopsied orbital masses. Potential causes include nongranulomatous and granulomatous inflammation, autoimmune disease, lymphoproliferative disorders, benign epithelial proliferation, malignant neoplasia, and metastatic disease. Inflammatory lesions and lymphoproliferative disorders are the most common and may be unilateral or bilateral; they may also be localized to the orbit or associated with systemic disease. Read More

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February 2021

Not a Tumor-Nonspecific Orbital Inflammation.

Authors:
James A Garrity

J Neurol Surg B Skull Base 2021 Feb 2;82(1):96-99. Epub 2021 Feb 2.

Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States.

 This study was aimed to illustrate the features and complexities of nonspecific orbital inflammation via discussion of two representative cases.  Present study is a retrospective case review.  The study was conducted at a tertiary care medical center. Read More

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February 2021

Lacrimal sac diverticulum: clinical presentation and endoscopic management.

Eur Arch Otorhinolaryngol 2021 Mar 27. Epub 2021 Mar 27.

Oculoplastics Institute, Division of Ophthalmology, Tel Aviv Sourasky Medical Center Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: To describe the clinical presentation, surgical intervention and clinical outcomes of patients with a lacrimal sac diverticulum.

Methods: Retrospective chart review of all patients who underwent endonasal endoscopic dacryocystorhinostomy (DCR) in a single medical center from January 2010 to October 2020. The diagnosis of a lacrimal sac diverticulum was based upon intraoperative findings. Read More

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Rabbit models of dry eye disease: Current understanding and unmet needs for translational research.

Exp Eye Res 2021 May 23;206:108538. Epub 2021 Mar 23.

Center for Ocular Regeneration (CORE), L V Prasad Eye Institute, Hyderabad, Telangana, India; Brien Holden Center for Eye Research (BHERC), L V Prasad Eye Institute, Hyderabad, Telangana, India; The Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India. Electronic address:

Dry eye disease (DED) is emerging as an eye health pandemic, affecting millions worldwide. The development of novel drugs, drug delivery systems, and targeted therapies for addressing the inflammation in DED necessitates progress in experimental models of DED. Animal models of DED have been created for simulating the two clinically described forms of DED: lacrimal insufficiency and the evaporative DED models. Read More

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Glomerulonephritis with severe nephrotic syndrome induced by immune complexes composed of galactose-deficient IgA1 in primary Sjögren's syndrome: a case report.

BMC Nephrol 2021 Mar 25;22(1):108. Epub 2021 Mar 25.

Department of Rheumatology, Kanazawa University Hospital, Kanazawa University Graduate School of Medical Science, 13-1, Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.

Background: Primary Sjögren's syndrome (pSS) is an auto-immune disease characterized by sialadenitis and dacryoadenitis with lymphoplasmacytic cell infiltration. In pSS, not only sicca symptoms, but also extra-glandular involvement induced by immune abnormalities based on pSS occurs. Renal involvement is one such important life-threatening extra-glandular involvement. Read More

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Applying the Exoscope to Lacrimal Surgery: Preliminary Experience.

ORL J Otorhinolaryngol Relat Spec 2021 Mar 18:1-6. Epub 2021 Mar 18.

Department of Otorhinolaryngology and Head and Neck Surgery, Humanitas Clinical and Research Hospital IRCCS, Milan, Italy.

Purpose: The aim of the study was to investigate the role of the exoscope as an assisting tool in endoscopic dacryocystorhinostomy (e-DCR).

Materials And Methods: In this observational retrospective study, the application of the VITOM® exoscope was studied in a group of 21 patients undergoing mono- or bilateral DCR. The primary endpoint was to evaluate resolution of symptoms (epiphora/dacryocystitis) at the 6-month follow-up and time for surgery. Read More

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[Retrobulbar hematoma in endoscopic endonasal dacryocystorhinostomy].

Vestn Otorinolaringol 2021 ;86(1):112-116

Research Institute of Eye Diseases, Moscow, Russia.

Recently, an increase in the number of operations on the lacrimal ducts performed by otorhinolaryngologists has been noted throughout the world. During these operations, intra- and postoperative complications may develop, which require the intervention of an ophthalmologist. A rare complication of endoscopic dacryocystorhinostomy is the development of retrobulbar hemorrhage. Read More

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[Method of endonasal endoscopic dacryocystorhinostomy with plastic stoma formation].

Vestn Otorinolaringol 2021 ;86(1):58-62

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky, Moscow, Russia.

The article presents modern methods of surgical treatment of chronic dacryocystitis, a brief historical review of various options for endonasal endoscopic dacryocystorhinostomy is carried out. The method of plastic seamless formation of dacryocystostomy, which does not require intubation of the lacrimal passages and/or using of silicone stoma dilators, is described. Between 2010 and 2019 at The State Budgetary Healthcare Institution of Moscow Area Moscow regional research clinical institute . Read More

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Programmed Cell Death-1 Pathway Deficiency Enhances Autoimmunity Leading to Dacryoadenitis of Mice.

Am J Pathol 2021 Jun 8;191(6):1077-1093. Epub 2021 Mar 8.

Department of Developmental Anatomy and Regenerative Biology, National Defense Medical College, Saitama, Japan. Electronic address:

Programmed cell death protein (PD)-1 is a coinhibitory molecule that suppresses immune response and maintains immune homeostasis. Moreover, the PD-1 pathway blocks cancers from being attacked by immune cells. Anti-PD-1 antibody therapy such as nivolumab improves survival in cancer patients. Read More

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Dacryoadenitis caused by Cochliomyia macellaria (Diptera: Calliphoridae) in a sambar deer (Rusa unicolor) in Rio de Janeiro, Brazil.

Vet Parasitol Reg Stud Reports 2021 Jan 3;23:100504. Epub 2020 Dec 3.

Veterinary Anatomic Pathology Section (SAP), Public Health and Epidemiology Department (DESP), Veterinary Institute (IV), Federal Rural University of Rio de Janeiro (UFRRJ), BR 465, Km 7, Seropédica, RJ, Brazil. Electronic address:

Flies of the genus Cochliomyia frequently cause myiasis in the Americas during the hot and humid climate, which favors the development of the parasite's life cycle. A three-year-old female sambar deer (Rusa unicolor), originated from a conservation farm in the municipality of Casimiro de Abreu, Rio de Janeiro state, Brazil, was presented for a necropsy. Grossly, a nodular wound in the right lacrimal gland was observed, with many intralesional larvae. Read More

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January 2021

Filamentous Fungus Dacryolith as a Cause of Chronic Dacryocystitis.

Klin Monbl Augenheilkd 2021 04 19;238(4):356-357. Epub 2021 Feb 19.

Augenklinik, Universitätsspital Basel, Basel, Switzerland.

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Extension of Masses Involving the Lacrimal Sac to Above the Medial Canthal Tendon.

Ophthalmic Plast Reconstr Surg 2021 Feb 11. Epub 2021 Feb 11.

Adnexal Service, Moorfields Eye Hospital, London, United Kingdom.

Purpose: Retention mucoceles of the lacrimal sac almost always expand below the medial canthal tendon (MCT), whereas the very much rarer malignancies involving the lacrimal sac may progress to form a mass above the tendon. In this study, the incidence of malignancy was determined for patients with a preoperative decision to undergo biopsy for a clinically-suspect, hard lacrimal sac mass, together with the proportion having a tumor extending above the MCT.

Methods: Patients thought-on the basis of having a firm, immobile mass centered on the lacrimal sac fossa-to possibly have lacrimal sac malignancy were identified from a database of biopsies between 1989 and 2020. Read More

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February 2021