Search Our Scientific Publications & Authors

Medicine (Baltimore) 2019 Mar;98(12):e14889

Department of Ophthalmology, Yan'an People's Hospital, Yan'an, China.

Background: This study aims to assess the efficacy and safety of nasal endoscopic dacryocystorhinostomy (NED) for patients with chronic dacryocystitis (CD).

Methods: The following 7 electronic databases will be searched from inception to the present: Cochrane Library, EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Allied and Complementary Medicine Database, and Chinese Biomedical Literature Database. In addition, the clinical trials registry and reference lists of included studies will also be searched. Read More

Ophthalmic Plast Reconstr Surg 2019 Mar 18. Epub 2019 Mar 18.

Institute of Functional and Clinical Anatomy, Friedrich Alexander University Erlangen-Nürnberg, Germany.

Purpose: To investigate the presence and distribution patterns of proteins in the lacrimal sac mucopeptide concretions.

Methods: The study was performed on 10 mucopeptide concretions obtained from the lacrimal sac during an endoscopic dacryocystorhinostomy. Immunohistochemical labeling was performed for assessing the presence and distribution of von Willebrand factor, fibronectin, collagen I, collagen III, human beta-defensin 2, beta-defensin 3, lysozyme, prolactin, cytokeratin (CK)-CK4, CK7, CK18, immunoglobulin M (IgM), immunoglobulin G (IgG), psoriasin (S100-A7), and migration inhibitory factor-related protein (MRP14/S100-A9). Read More

Orbit 2019 Mar 20:1-4. Epub 2019 Mar 20.

b Govindram Seksaria Institute of Dacryology , L. V. Prasad Eye Institute , Hyderabad , India.

Purpose: To evaluate the outcomes of powered endoscopic dacryocystorhinostomy (DCR) in syndromic individuals with congenital nasolacrimal duct obstruction (CNLDO).

Methods: A retrospective multicenter case series of patients who required a primary powered endoscopic DCR for refractory CNLDO associated with syndromes or congenital craniofacial abnormalities was performed. A minimum follow-up of more than 6 months was considered for final analysis. Read More

Ophthalmic Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Ophthalmology, University of California San Francisco, San Francisco, California, U.S.A.

A 68-year-old man with known history of IgG4-related disease presented with a 1-year history of mucoid discharge OD and progressive proptosis OS. MRI showed diffuse enlargement of the left lacrimal gland along with prolonged infiltrative changes involving the left extraocular muscles, supraorbital nerve, and infraorbital nerve. No identifiable masses were noted in either nasolacrimal drainage system on MRI. Read More

Ophthalmic Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Institute of Functional and Clinical Anatomy, Friedrich Alexander University Erlangen-Nürnberg, Germany.

Purpose: To investigate the presence and distribution patterns of 6 surfactant proteins in lacrimal drainage tissues of patients with primary acquired nasolacrimal duct (NLD) obstruction.

Methods: The presence and distribution of surfactant proteins (SP)-G and SP-H was first assessed in normal cadaveric lacrimal systems. The study was then performed in 10 samples of lacrimal sac and the respective NLDs obtained from patients suffering from primary acquired NLD obstruction who underwent either a dacryocystorhinostomy or a dacryocystectomy. Read More

Ophthalmic Plast Reconstr Surg 2019 Mar 8. Epub 2019 Mar 8.

Lacrimal Clinic, Moorfields Eye Hospital, London, United Kingdom.

Purpose: To characterize the anatomical anomaly of congenital double puncta, identify factors contributing to epiphora and its treatment.

Methods: Retrospective review of patients presenting with epiphora and a double lacrimal punctum over a 6-month period.

Results: Five consecutive patients (3 female) were identified. Read More

Eur J Ophthalmol 2019 Mar 12:1120672119837085. Epub 2019 Mar 12.

2 Department of Ophthalmology, Gazi University Medical School, Ankara, Turkey.

Primary non-Hodgkin lymphoma (NHL) of lacrimal drainage system (LDS) is quite rare in children, but it is important to expedite early diagnosis in an effort to alter possible life-threatening disease since they are usually misdiagnosed as chronic dacryocystitis. In the literature, there are few examples of tumors of LDS in children. The authors herein report two pediatric cases of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) originating from lacrimal sac in an attempt to increase the knowledge about the clinical course of NHL of LDS. Read More

Can J Ophthalmol 2019 Feb 21;54(1):111-115. Epub 2018 May 21.

Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.. Electronic address:

Objective: To analyze the relationship among the presence of lacrimal sac mucus retention, the vertical size of the lacrimal sac, and the duration of tearing symptom in patients with nasolacrimal duct obstruction (NLDO).

Design: Retrospective case series.

Participants: We reviewed the medical records of 473 patients (664 eyes) who underwent external dacryocystorhinostomy for primary NLDO. Read More

Med Arch 2018 Dec;72(6):414-417

German Eye Clinic, Prishtina, Kosovo.

Introduction: External dacryocystorhinostomy is a surgical procedure for the treatment of lacrimal drainage system disorders.

Aim: To assess the usefulness of different silicone tubes in external dacryocystorhinostomy.

Material And Methods: This study sampled 97 patients with lacrimal drainage system disorders who underwent the external dacryocystorhinostomy using two different silicone tubes. Read More

Ophthalmic Plast Reconstr Surg 2019 Feb 21. Epub 2019 Feb 21.

Govindram Seksaria Institute of Dacryology, L.V.Prasad Eye Institute, Hyderabad, India.

Ophthalmology 2019 Feb 20. Epub 2019 Feb 20.

Adnexal Service, Moorfields Eye Hospital, London EC1V 2PD. Electronic address:

We present a retrospective review of clinical outcome for 75 external dacryocystorhinostomies (15 revisional) in 47 patients with systemic or nasal sarcoidosis; 6 primary surgeries and 4 redo cases required further procedures to control symptoms. Read More

Indian J Ophthalmol 2019 Mar;67(3):382-385

Ophthalmic Plastics, Orbit and Ocular Oncology Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India.

Purpose: To compare the efficacy of a single perioperative bolus dose of intravenous antibiotic versus postoperative oral antibiotic prophylaxis for prevention of surgical site infection (SSI) in external dacryocystorhinostomy (DCR) for primary acquired nasolacrimal duct obstruction (PANDO).

Methods: This was a prospective randomized controlled study with a noninferiority design. Patients undergoing external DCR surgery were randomized into two groups A and B. Read More

J Neurosurg 2019 Feb 8:1-9. Epub 2019 Feb 8.

OBJECTIVEEndonasal surgery of the skull base requires watertight reconstruction of the skull base that can seal the dural defect to prevent postoperative CSF rhinorrhea and consequent intracranial complications. Although the incidence of CSF leakage has decreased significantly since the introduction in 2006 of the vascularized nasoseptal flap (the Hadad-Bassagasteguy flap), reconstruction of extensive skull base dural defects remains challenging. The authors describe a new, modified vascularized nasoseptal flap for reconstruction of extensive skull base dural defects. Read More

Medicine (Baltimore) 2019 Feb;98(6):e14188

Department of Ophthalmology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders.

Background: Congenital nasolacrimal duct obstruction (CNLDO) is common and. lacrimal duct probing is the major treatment. But persistent CNLDO in older children makes the success rate rapidly decreased due to long-term chronic inflammation. Read More

Ophthalmic Plast Reconstr Surg 2019 Mar/Apr;35(2):e47-e49

The Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.

An 81-year-old man with unilateral nasolacrimal duct obstruction underwent routine endonasal dacryocystorhinostomy and 2 days postoperatively developed a severe headache and rigors. Subsequent CT and MRI imaging demonstrated a defect in the floor of the right anterior cranial fossa, which possibly was damaged during the operation, and meningoencephalitis of the adjacent frontal lobe gyrus. Following intravenous antibiotic treatment, the patient made a full recovery with no ongoing sequelae, and his epiphora completely resolved. Read More

Orbit 2019 Feb 2:1-8. Epub 2019 Feb 2.

a Department of Head and Neck Surgery , Kaiser Permanente Medical Center Oakland , Oakland , CA , USA.

Purpose: Endoscopic surgeries, such as dacryocystorhinostomy (DCR), are increasingly performed for orbital and lacrimal conditions. This study describes and compares recent trends in endoscopic DCR with open, or external, DCR in the United States (US).

Methods: Medicare-Part-B National Summary data files were analyzed from 2000 to 2015 for temporal and geographic trends in endoscopic and external DCR. Read More

Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):99

Ophthalmic Plast Reconstr Surg 2018 Dec 28. Epub 2018 Dec 28.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Purpose: To provide a systematic review of the literature on congenital dacryocystoceles (CDCs) and summarize their presentations, investigations, management, and outcomes.

Methods: The authors performed a PubMed search of all articles published in English on CDCs. Data captured include demographics, clinical presentations, investigations, management modalities, complications, and outcomes. Read More

Orv Hetil 2018 Dec;159(52):2207-2211

Fül-Orr-Gégegyógyászati Osztály, Debreceni Egyetem, Kenézy Gyula Egyetemi Kórház Debrecen.

Introduction: Endonasal dacryocystorhinostomy (EDCR) has good results.

Aim: To perform a prospective histological investigation of the removed lacrimal sacs' walls.

Method: Between 2016 and 2017, we carried out 21 operations in two groups: inflammatory (11 patients) and non-inflammatory (10 patients) lacrimation groups. Read More

Arch Soc Esp Oftalmol 2018 Dec 14. Epub 2018 Dec 14.

Servicio de Anatomía Patológica, Fundació Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Barcelona, España.

Sarcoidosis of lacrimal sac is a very uncommon disease. When the patient has symptoms of lacrimal sac diseases, it is necessary to take into account the histological evaluation, to demonstrate the involvement of the lacrimal sac by this pathology. In patients with sarcoidosis history, the treatment is surgical and it is suggested to do an external dacryocystorhinostomy, in order to take a biopsy, to get a diagnosis and to establish the incidence of this pathology. Read More

Ophthalmic Plast Reconstr Surg 2018 Dec 7. Epub 2018 Dec 7.

Orbit Oculoplasty Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata, India.

Purpose: To compare the cosmetic outcome of the surgical scar of external dacryocystorhinostomy by the subcuticular versus sutureless technique.

Methods: This was a prospective interventional randomized control study conducted at tertiary level hospital. Fifty patients of primary-acquired nasolacrimal duct obstruction were included in this study. Read More

Korean J Ophthalmol 2018 Dec;32(6):433-437

Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

Purpose: Various absorbable anti-adhesion agents have been used to prevent postoperative synechia formation after endonasal surgery. The purpose of this study was to evaluate the anti-adhesion effects of HyFence and Mediclore after endonasal dacryocystorhinostomy (DCR) compared to a mixed solution of hyaluronic acid and sodium carboxymethylcellulose (Guardix-Sol).

Methods: In this retrospective study, endonasal DCR and silicone tube intubation were performed on 198 eyes of 151 patients. Read More

Sci Rep 2018 Dec 12;8(1):17901. Epub 2018 Dec 12.

Department of Ophthalmology, First People's Hospital of Shangqiu, Henan, China.

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper. Read More

Eye (Lond) 2018 Dec 10. Epub 2018 Dec 10.

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.

Purpose: To evaluate the clinical features and treatment outcomes of patients complaining of tearing after receiving chemotherapy.

Methods: The clinical records of patients who complained of tearing between August 2014 and February 2016, and underwent or were undergoing chemotherapy were retrospectively reviewed. Clinical measurements were as follows: LipiView interferometer (lipid layer thickness and meibography), lacrimal drainage examinations (syringing), and outcomes at 6 months after treatment. Read More

Vestn Oftalmol 2018 ;134(5. Vyp. 2):270-275

Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow State Medical University, Chair of Ophthalmology, 8-2 Malaya Trubetskaya St., Moscow, Russian Federation, 119991.

The article reviews the literature devoted to modern intraoperative methods of preventing cicatricial process at the site of dacryostoma after endonasal endoscopic dacryocystorhinostomy. Despite the constant improvement of the surgery technique, complications in the postoperative period still occur. They include the formation of granulation tissue at the sites of dacryostoma, synechiae in the nasal cavity, or narrowing of the dacryostoma, which ultimately leads to a relapse of the disease. Read More

Mymensingh Med J 2018 Oct;27(4):673-678

Dr Muhammad Rafiqul Islam, Junior Consultant, Department of Ophthalmology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh.

Nasolacrimal duct obstruction due to chronic dacryocystitis is the most common cause of epiphora. Dacryocystorhinostomy (DCR) is the treatment of choice for chronic dacryocystitis. This can be carried out by external, endoscopic and endolaser surgical approach. Read More

Am J Rhinol Allergy 2018 Nov 28:1945892418815044. Epub 2018 Nov 28.

4 Department of Otolaryngology-Head & Neck Surgery, Albaha University, Al Bahah, Saudi Arabia.

Background: Although several studies have commented on causes of dacryocystorhinostomy (DCR) failure, detailed description of anatomical findings in such cases remains insufficient.

Objective: Our objective was primarily to analyze radiologic, endoscopic, and intraoperative findings in patients presenting with failed DCR and secondarily to assess the outcome of revision endoscopic DCR (endo-DCR) carried out at our institution.

Methods: Twenty-four failed DCRs presenting to our tertiary care center were retrospectively analyzed. Read More

Indian J Otolaryngol Head Neck Surg 2018 Dec 19;70(4):477-481. Epub 2018 Sep 19.

Department of ENT, Gandhi Medical College, Bhopal, MP 462001 India.

Many surgical advancement paved to surgical success in endonasal endoscopic dacryocystorhinostomy. Mitomycin C is a systemic chemotherapeutic agent derived from that inhibits the synthesis of DNA, cellular RNA, and protein by inhibiting the synthesis of collagen by fibroblasts. The objective of the study was to evaluate the advantage of mitomycin C in primary endoscopic endonasal dacryocystorhinostomy without stenting. Read More

Otolaryngol Head Neck Surg 2019 Feb 20;160(2):347-354. Epub 2018 Nov 20.

1 Department of Otorhinolaryngology-Head and Neck Surgery, Army College of Medical Sciences and Associated Base Hospital, Delhi Cantt, New Delhi, India.

Objective: To compare the outcomes of various techniques of endoscopic dacryocystorhinostomy (DCR).

Study Design: Retrospective case record analysis.

Settings: Tertiary care referral center. Read More

Eur J Med Res 2018 Nov 16;23(1):58. Epub 2018 Nov 16.

Department of Ophthalmology, University of Cologne, Kerpener Strasse 62, 50924, Cologne, Germany.

Purpose: External dacryocystorhinostomy (DCR) is considered as the gold standard in the treatment of acquired nasolacrimal duct obstruction. However, many advances have been made towards the development of modern minimally invasive therapies. These new techniques were proven less harmful to the patients' skin and medial palpebral structures with their palpebral-canalicular pump mechanism. Read More

Orbit 2018 Nov 13:1-5. Epub 2018 Nov 13.

a Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute , Hyderabad , India.

Purpose: The aim of this study was to perform a histopathological assessment of the efficacy of sclerosing agents in dacryocystosclerotherapy (DCST) and to evaluate its role as an alternative to dacryocystectomy (DCT) in a specific group of patients.

Methods: Thirteen lacrimal drainage systems of 10 patients with primary acquired nasolacrimal duct obstruction (PANDO) were studied. All patients were awaiting a DCT, indications being repeated attacks of dacryocystitis with severe systemic or ocular co-morbidities and/or refusal for a dacryocystorhinostomy. Read More

J Pediatr Ophthalmol Strabismus 2019 Jan 26;56(1):50-54. Epub 2018 Oct 26.

Purpose: To analyze the efficacy of nasolacrimal duct probing conducted in the office for nasolacrimal duct obstruction.

Methods: A retrospective chart review was conducted of 1,294 patients. Of those, 1,227 patients who underwent office-based nasolacrimal probings of the nasolacrimal duct at a single tertiary care center were included. Read More

Int J Pediatr Otorhinolaryngol 2018 Dec 19;115:54-57. Epub 2018 Sep 19.

Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan.

Objective: To examine the surgical outcome of dacryoendoscopy-assisted nasal endoscopic marsupialization for congenital dacryocystocele.

Methods: This is a retrospective, observational study that included 7 sides of 6 patients with congenital dacryocystocele. The surgical indication in 5 of the patients was acute dacryocystitis while one of the patients had no spontaneous resolution after long-term observation. Read More

Int J Ophthalmol 2018 18;11(10):1616-1620. Epub 2018 Oct 18.

Medlife Hospital, İstanbul 34500, Turkey.

Aim: To evaluate the long-term sucess rate of laser-assisted dacryocystorhinostomy (L-DCR) in patients with nasolacrimal duct obstruction (NDO).

Methods: Forty-one eyes of forty patients aged between 21-85y (mean 56.7y) who underwent L-DCR for the treatment of NDO were included in this retrospective, non-randomized study. Read More

Diseases 2018 Oct 22;6(4). Epub 2018 Oct 22.

Eye Clinic of Genoa, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genova, 16132 Genova, Italy.

Congenital nasolacrimal duct obstruction (CNLDO) is a common condition causing excessive tearing or mucoid discharge from the eyes, due to blockage of the nasolacrimal duct system. Nasolacrimal duct obstruction affects as many as 20% children aged <1 year worldwide and is often resolved without surgery. Available treatment options are conservative therapy, including observation, lacrimal sac massage and antibiotics, and invasive therapy. Read More

Can J Ophthalmol 2018 Oct 1;53(5):466-470. Epub 2018 Feb 1.

Columbia University Medical Center, New York, NY.

Objective: To determine the effect of bicanalicular silicone intubation (SI) on dacryocystorhinostomy (DCR) success rate in adult primary acquired nasolacrimal duct obstruction.

Design: Meta-analysis of randomized controlled trials (RCTs).

Methods: PubMed, Embase, Cochrane CENTRAL, Ovid Medline, Google Scholar, and grey literature search was performed from inception to June 2017. Read More

Cornea 2019 Jan;38(1):84-88

Ophthalmic Plastic and Reconstructive Surgery Service, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India.

Purpose: Nasolacrimal duct obstruction (NLDO) is believed to be a risk factor for microbial keratitis (MK). The primary objective of this study was to look at microbiological concordance between corneal scraping and lacrimal sac flora in patients with concurrent MK and NLDO. The secondary objective was to compare microbiological isolates from MK and NLDO, MK alone, NLDO alone, and healthy subjects. Read More

Ann Plast Surg 2019 Jan;82(1):8-10

Private Practice, Isfahan, Iran.

Lacrimal injury is very uncommon after osteotomy in rhinoplasty. We present 2 cases of lacrimal injury after osteotomy in rhinoplasty and present the steps to managing such an injury. These cases were finally treated with endoscopic dacryocystorhinostomy. Read More

Arq Bras Oftalmol 2018 Nov./Dec.;81(6):500-504. Epub 2018 Oct 8.

Department of Ophthalmology, World Eye Hospital, Ankara, Turkey.

Purpose: To report demographic features and surgical outcomes of 320 children undergoing external dacryocystorhinostomy for dacryostenosis.

Methods: We performed a retrospective evaluation of the records of patients aged <16 years who underwent external dacryocystorhinostomy. Patient demographic features and success rates of the operations were analyzed from the data records. Read More

Wideochir Inne Tech Maloinwazyjne 2018 Sep 10;13(3):401-406. Epub 2018 Jul 10.

Department of Ophthalmology, University of Health Sciences, Bagcilar Training and Research Hospital, Istanbul, Turkey.

Introduction: Transcanalicular laser DCR (TL-DCR) approaches have been developed for the formation of a fistula between the nasal cavity and the lacrimal sac to ensure the continuity of the lacrimal drainage system over the years. However, the success rate of TL-DCR has varied widely.

Aim: To evaluate and compare the success rates of conventional transcanalicular multidiode laser dacryocystorhinostomy and modified transcanalicular multidiode laser dacryocystorhinostomy. Read More

BMC Ophthalmol 2018 Sep 20;18(1):254. Epub 2018 Sep 20.

Department of Ophthalmology, Menoufia Faculty of Medicine, Shebin El Kom, Menoufia, Egypt.

Background: To introduce and evaluate the application of Ologen implants in external Dacryocystorhinostomy (DCR) Surgeries.

Methods: Prospective comparative randomized study was carried out on 60 patients coming to ophthalmology department, Menoufia University Hospitals. Patients included were suffering from primary acquired nasolacrimal duct obstruction with positive regurge test. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep 18. Epub 2018 Sep 18.

Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.

Purpose: Acquired lacrimal canalicular obstruction has a variety of causes. In a small proportion of patients, no cause can be identified. This article describes a cohort of 27 patients with idiopathic acquired lacrimal canalicular obstruction encountered over a 28-year period. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep 18. Epub 2018 Sep 18.

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

Purpose: To review the histological findings in the lacrimal sac and nasal mucosa from patients with sarcoidosis undergoing external lacrimal drainage surgery.

Methods: All patients undergoing external dacryocystorhinostomy at Moorfields Eye Hospital with a known history of sarcoidosis had biopsies taken from the lacrimal sac and/or nasal mucosa during surgery. These patients were identified from databases at Moorfields Eye Hospital and the Institute of Ophthalmology, and their clinical notes were reviewed retrospectively for intraoperative findings with a view to identifying common trends. Read More

Eye (Lond) 2019 Mar 18;33(3):374-379. Epub 2018 Sep 18.

Adnexal Service, Moorfields Eye Hospital, London, UK.

Objectives: To determine whether administration of local anaesthetic at the site of skin incision during open lacrimal drainage surgery under general anaesthesia alters the total dosage of anaesthetic drugs required during total intravenous anaesthesia (TIVA), and whether it alters postoperative pain and recovery.

Study Design: Masked comparison of a randomized, two-group interventional study.

Patients And Methods: Patients undergoing unilateral external dacryocystorhinostomy under total intravenous general anaesthesia were recruited from the lacrimal service at Moorfields Eye Hospital between September 2012 and February 2014. Read More

BMC Ophthalmol 2018 Sep 12;18(1):244. Epub 2018 Sep 12.

Departments of Ophthalmology, The People's Hospital of Leshan, Leshan, Sichuan, People's Republic of China.

Background: Dacryoliths in lacrimal gland ductule are a rare condition and an unusual cause of conjunctivitis. Here we report a case with a large lacrimal gland ductule stone with an unique hairy nucleus.

Case Presentation: A 38-year-old female presented with a red left eye for one month. Read More

Laryngoscope 2018 12 8;128(12):2693-2696. Epub 2018 Sep 8.

Department of Otolaryngology, Little Flower Hospital, Angamaly, Kerala, India.

Objectives: To study the clinical profile and the route of spread of lacrimal sac rhinosporidiosis. To device a standard transnasal endoscopic surgical procedure in the treatment of lacrimal sac rhinosporidiosis.

Methods: This is a retrospective analysis of a case series on lacrimal sac rhinosporidiosis. Read More

J Craniofac Surg 2018 Oct;29(7):1960-1962

Department of Otorhinolaryngology, Head and Neck Surgery, University of Health Sciences Izmir Bozyaka Research and Training Hospital, Izmir, Turkey.

Objective of this study is to determine the etiology of patients applied with revision endoscopic dacryocystorhinostomy (DCR) and to evaluate the operation results.The patients were retrospectively evaluated in respect of demographic data, the time from primary to revision surgery, revision etiology, the use of bicanalicular silicone nasolacrimal tube (BNLT), the time to postoperative removal of the silicone tube, and the success of the revision surgery.The study included 27 patients applied with revision endoscopic DCR between January 2013 and January 2016. Read More

Ugeskr Laeger 2018 Aug;180(35)

Dacryocystorhinostomy (DCR) is used for treating lacrimal duct obstruction and can be performed with an external (EXT) or an endoscopic (END) approach. In this case report a 70-year-old woman suffering from chronic epiphora had earlier been treated with exploration of the lacrimal duct with insertion of a silicone tube. Due to continuous epiphora the patient underwent END DCR revision surgery, where a 4-cm silicone tube was retrieved from the distal part of the lacrimal duct. Read More

Orbit 2018 Aug 24:1-4. Epub 2018 Aug 24.

c Department of Pathology , Maulana Azad Medical College & Associated Lok Nayak Hospital , Delhi , India.

Tuberculosis is an airborne communicable disease primarily affecting lungs. Primary tuberculosis of the lacrimal sac is very rare. A 15-year-old girl presented with bilateral epiphora for 8 months. Read More

Ear Nose Throat J 2018 Aug;97(8):E39-E42

Department of Head and Neck Surgery, Kaiser Permanente Medical Center, 450 6th Ave., 2nd Floor, San Francisco, CA 94118, USA.

We conducted a retrospective chart review of 27 patients-7 men and 20 women, aged 47 to 94 years (mean: 71.3)-with symptomatic epiphora secondary to dacryostenosis who had undergone thulium: YAG (Tm:YAG) laser dacryocystorhinostomy (DCR). Among them, dacryostenosis had been documented in 35 eyes by dacryocystography. Read More