3,425 results match your criteria Dacryocystorhinostomy


Transcanalicular diode laser assisted dacryocystorhinostomy: A breakthrough in the treatment of acquired nasolacrimal duct obstruction.

Pak J Med Sci 2020 May-Jun;36(4):804-807

Dr. Muhammad Shahid. FCPS (Ophth), Armed Forces Institute of Ophthalmology (AFIO) Rawalpindi, Pakistan.

Objective: To evaluate the success rate of Transcanalicular Diode laser assisted Dacryocystorhinostomy (TC-DCR) in cases of acquired nasolacrimal duct obstruction (NLDO).

Methods: This Quasi-Experimental study was conducted in Armed Forces Institute of Ophthalmology (AFIO) Rawalpindi, from July 2018 to April 2019. In this study, 73 patients of chronic dacryocystitis secondary to acquired NLDO were treated by TC-DCR under general anaesthesia. Read More

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http://dx.doi.org/10.12669/pjms.36.4.1906DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260931PMC

Double puncta canaliculi may exhibit different clinical presentations.

Arq Bras Oftalmol 2020 Jun 29;83(3):236-238. Epub 2020 May 29.

Department of Ophthalmology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

In this paper, we describe two adult patients who presented with double lacrimal puncta: one of them was asymptomatic and incidentally diagnosed, and the other complained of epiphora. In both patients, unilaterality, preference for the lower lid, and location medial to the normal punctum were common features of the accessory punctum. In the asymptomatic patient, irrigation revealed no obstruction in the punctum or the nasolacrimal drainage system. Read More

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http://dx.doi.org/10.5935/0004-2749.20200063DOI Listing

Orbital fat necrosis following a revision endoscopic dacryocystorhinostomy.

Eur J Ophthalmol 2020 Jun 3:1120672120932087. Epub 2020 Jun 3.

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

Introduction: This report details a case of a preseptal fat necrosis in a 55-year old female, following a revision endoscopic dacryocystorhinostomy (DCR).

Case Description: Upon initial examination, significant right eyelid swelling, tenderness, and pain in the peritrochlear area, was observed. An overlying skin edema was noted in the supero-medial portion of the right upper eyelid. Read More

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http://dx.doi.org/10.1177/1120672120932087DOI Listing

Pain Score Assessment Using Single-Dose IV Ketorolac Only, After External Dacryocystorhinostomy: A Randomized Double/Triple-Blind Placebo-Controlled Trial.

Ophthalmic Plast Reconstr Surg 2020 May 26. Epub 2020 May 26.

Consultant, Orbit and Oculoplasty, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.

Purpose: To assess efficacy of intravenous (IV) ketorolac for postoperative pain control after external dacryocystorhinostomy.

Method: Fifty-five patients from January to April 2019 were randomized, to a double-blind prospective interventional study. Intervention arm received IV ketorolac (60 mg/2 ml) immediately post-op, control received IV saline bolus. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001730DOI Listing

All India Ophthalmological Society - Oculoplastics Association of India consensus statement on preferred practices in oculoplasty and lacrimal surgery during the COVID-19 pandemic.

Indian J Ophthalmol 2020 06;68(6):974-980

Advanced Eye Care Center, PGIMER, Chandigarh, India.

Oculoplastic surgeries encompass both emergency surgeries for traumatic conditions and infectious disorders as well as elective aesthetic procedures. The COVID-19 pandemic has brought about a drastic change in this practice. Given the highly infectious nature of the disease as well as the global scarcity of medical resources; it is only prudent to treat only emergent conditions during the pandemic as we incorporate evidence-based screening and protective measures into our practices. Read More

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http://dx.doi.org/10.4103/ijo.IJO_1415_20DOI Listing

Mechanical transnasal endoscopic dacryocystorhinostomy versus transcanalicular multidiode laser dacryocystorhinostomy: long-term results of a prospective study.

Lasers Med Sci 2020 May 20. Epub 2020 May 20.

Ophthalmology Department, Gazi University School of Medicine, Ankara, Turkey.

The purpose of this study is to compare two dacryocystorhinostomy (DCR) techniques in epiphora treatment. This study is a prospective randomized trial. Twenty-nine patients presenting persistent epiphora due to primary acquired nasolacrimal duct obstruction (PANDO) were included in the study. Read More

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http://dx.doi.org/10.1007/s10103-020-03038-7DOI Listing

Behavior and outcomes of 70 adult lacrimal sac mucoceles.

Orbit 2020 May 21:1-5. Epub 2020 May 21.

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

Purpose: To study the clinical profile and outcomes in adults with lacrimal sac mucoceles.

Methods: A retrospective, interventional study on consecutive adult patients with lacrimal sac mucoceles who underwent dacryocystorhinostomy (DCR)/dacryocystectomy surgery. Primary outcome measure was subsidence of lacrimal sac swelling after intervention. Read More

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http://dx.doi.org/10.1080/01676830.2020.1767155DOI Listing

Radiofrequency-Assisted Endofistulectomy: Treating Coexisting Lacrimal Fistulae During Endoscopic Dacryocystorhinostomy.

Ophthalmic Plast Reconstr Surg 2020 May 14. Epub 2020 May 14.

Govindram Seksaria Institute of Dacryology, LV Prasad Eye Institute, Hyderabad, Telangana, India.

Purpose: To assess the efficacy of radiofrequency-assisted endofistulectomy in patients with lacrimal fistulae communicating with the lacrimal sac.

Methods: Retrospective interventional case series of patients undergoing endoscopic dacryocystorhinostomy with endofistulectomy from June 2016 to January 2020 were studied. The indications of endoscopic dacryocystorhinostomy were associated refractory complex congenital nasolacrimal duct obstructions and primary-acquired nasolacrimal duct obstruction. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001698DOI Listing

Day-Case Admission for External Dacryocystorhinostomy in Preschool Children.

Ophthalmic Plast Reconstr Surg 2020 May 4. Epub 2020 May 4.

Adnexal Service, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.

Purpose: Epistaxis during or after dacryocystorhinostomy may present a risk of circulatory compromise, particularly in young children. In view of this concern, we reviewed the outcome and complications of external dacryocystorhinostomy in preschool children, aged less than 4½ years.

Design: Retrospective noncomparative series. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001694DOI Listing

A randomized controlled trial on the effects of oxymetazoline nasal spray after dacryocystorhinostomy among adult patients.

BMC Res Notes 2020 May 1;13(1):236. Epub 2020 May 1.

Department of Ophthalmology and Visual Sciences, University of the Philippines Manila - Philippine General Hospital, Manila, Philippines.

Objectives: The study aimed to determine the effect of oxymetazoline nasal spray on the patency of the fistula created after dacryocystorhinostomy, specifically: to compare the success of fistula formation with oxymetazoline versus placebo, and to compare the incidence of post-operative congestion, pain and bleeding with oxymetazoline versus placebo.

Results: The study was a single-center, randomized controlled, triple-masked study involving the patients of the Plastic-Lacrimal service of a national university hospital. Block randomization was done. Read More

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http://dx.doi.org/10.1186/s13104-020-05076-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195701PMC

Intra-Operative Mitomycin-C as Adjuvant Therapy in External and Endonasal Dacryocystorhinostomy: Systematic Review and Meta-Analysis.

Ophthalmol Ther 2020 Jun 27;9(2):305-319. Epub 2020 Apr 27.

Department of Surgery, Faculdade de Medicina, Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu, São Paulo, Brazil.

Purpose: To evaluate the effect of mitomycin-C (MMC) on the success of external (Ex-DCR) or endoscopic dacryocystorhinostomy (En-DCR).

Method: A systematic review of randomized clinical trials of Ex- or En-DCR with and without the use of MMC to treat primary acquired nasolacrimal duct obstruction (NLDO) was done. Two authors independently searched six databases from 1990 to 2019, using the terms "dacryocystorhinostomy" and "mitomycin-C. Read More

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http://dx.doi.org/10.1007/s40123-020-00253-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196113PMC

Assisted local anaesthesia for endoscopic dacryocystorhinostomy.

Clin Exp Ophthalmol 2020 Apr 20. Epub 2020 Apr 20.

Orbit, Plastic and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ceo.13762DOI Listing

Modified Endoscopic Dacryocystorhinostomy Using the Middle Uncinate Process Approach.

J Craniofac Surg 2020 Apr 16. Epub 2020 Apr 16.

Department of Otolaryngology Head and Neck Surgery, Shengjing Hospital of China Medical University, Shenyang City, China.

Purpose: Endoscopic dacryocystorhinostomy (EDCR) is advantageous in that it avoids facial scar formation, does not damage the medial canthus ligament, and recovers quickly. The main purpose of EDCR is to establish a fistula large enough to completely expose the lacrimal sac and avoid complications. Accurate location of lacrimal sac and complete opening of lacrimal sac are the keys to successful operation. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006493DOI Listing
April 2020
0.676 Impact Factor

A case report of optic neuropathy following dacryocystorhinostomy in a 57-year-old female patient with May-Hegglin anomaly.

BMC Ophthalmol 2020 Apr 19;20(1):159. Epub 2020 Apr 19.

Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 50612, South Korea.

Background: We report a rare case of optic neuropathy following dacryocystorhinostomy (DCR) in a 57-year-old female patient with May-Hegglin anomaly.

Case Presentation: The patient was presented with sudden onset of vision loss for the left eye after DCR under general anesthesia. Her best corrected visual acuity was light perception in the left eye. Read More

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http://dx.doi.org/10.1186/s12886-020-01433-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168880PMC

Best treatments available for distal acquired lacrimal obstruction: A systematic review and meta-analysis.

Clin Otolaryngol 2020 Apr 18. Epub 2020 Apr 18.

Division of Head and Neck department, Otorhinolaryngology unit, IRCCS San Raffaele Scientific Institute, Milano, Italy.

Background: Epiphora is a common clinical sign whose primary cause is post-canalicular lacrimal obstruction. Treatment is both surgical and non-surgical. In the literature, there is some evidence to suggest that some treatments are superior to others, but there are no direct comparative data in this regard. Read More

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http://dx.doi.org/10.1111/coa.13551DOI Listing

Endoscopic dacryocystorhinostomy: A comparison of double-flap and single-flap techniques.

Ann Med Surg (Lond) 2020 Jun 8;54:1-5. Epub 2020 Apr 8.

Department of Anesthesia, Jordan University of Science and Technology, P.O Box 3030, Irbid, 22110, Jordan.

Background: Dacryocystorhinostomy (DCR) is a procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct obstructed. This study aimed to compare the success rates of two different techniques in endonasal endoscopic DCR; namely single and double mucosal flap techniques.

Material And Methods: A nonequivalent quasi-experiment design was used in this study. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153027PMC

Rhinoliths: Analysis of 24 Interested Forgotten Foreign Body Cases.

Ear Nose Throat J 2020 Apr 13:145561320908477. Epub 2020 Apr 13.

Department of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkiye.

Rhinoliths are petrified masses formed by accumulation of endogenous or exogenous salts around a nidus. Although rarely formed by the body, the most common cause is foreign bodies forgotten in the nose at childhood. Rhinoliths are rare and have been reported as a single case report in the literature. Read More

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http://dx.doi.org/10.1177/0145561320908477DOI Listing

Endoscopic Endonasal Dacryocystorhinostomy With a Novel Lacrimal Ostium Stent in Chronic Dacryocystitis Cases With Small Lacrimal Sac.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Orbital & Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, Wenzhou.

Purpose: To investigate feasibility of endoscopic endonasal dacryocystorhinostomy (EE-DCR) with an novel lacrimal ostium stent (LOS) intubation for patients with chronic dacryocystitis with small lacrimal sac.

Methods: Patients diagnosed as chronic dacryocystitis with small lacrimal sac who preferred to surgery treatment between March 1st, 2012 and May 1st, 2015. All included subjects were randomly divided into 2 groups (Group A and Group B). Read More

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http://dx.doi.org/10.1097/SCS.0000000000006359DOI Listing

Antimetabolites as an adjunct to dacryocystorhinostomy for nasolacrimal duct obstruction.

Cochrane Database Syst Rev 2020 04 7;4:CD012309. Epub 2020 Apr 7.

University of Hong Kong, Department of Ophthalmology, Rm 301, Blk B, Cyberport 4, 100 Cyberport Road, Cyberport, Hong Kong, 00000.

Background: Nasolacrimal duct obstruction (NLDO) is a condition that results in the overflow of tears (epiphora) or infection of the nasolacrimal sac (dacryocystitis). The etiology of acquired NLDO is multifactorial and is not fully understood. Dacryocystorhinostomy (DCR) is the surgical correction of NLDO, which aims to establish a new drainage pathway between the lacrimal sac and the nose. Read More

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http://dx.doi.org/10.1002/14651858.CD012309.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138426PMC

Study of Dosage-Dependent Effects of Cytostatic Drugs Using a Fibroblast Cell Culture of the Human Nasal Mucosa.

Int Arch Otorhinolaryngol 2020 Apr 28;24(2):e206-e210. Epub 2020 Jan 28.

Cell Laboratory, Scientific Research Institute of Eye Diseases, Moscow, Russian Federation.

 Knowing a concentration at which cytostatic drugs are toxic for the nasal fibroblasts will enable the use cytostatic drugs in the clinical practice to prevent excessive cicatrization.  To determine the cytostatic concentrations of mitomycin С, doxorubicin, and 5-fluorouracil affecting nasal mucosa fibroblasts.  We obtained material during an endonasal dacryocystorhinostomy with the patient's informed consent. Read More

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http://dx.doi.org/10.1055/s-0039-1697996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986950PMC

Cone Beam Computerized Tomography Dacryocystography (CBCT DCG) for the Evaluation of Lacrimal Drainage System Dysfunction.

Ophthalmic Plast Reconstr Surg 2020 Apr 3. Epub 2020 Apr 3.

Division of Orbital and Ophthalmic Plastic Surgery, Stein and Doheny Eye Institutes, University of California, Los Angeles, California.

Purpose: Lacrimal outflow imaging has been limited in clinical practice due to a combination of modality limitations and efficacy of clinical testing. Cone beam computed tomography dacryocystography (CBCT DCG) has certain advantages over other modalities that may enhance clinical utility. This study was intended to understand the relationships between symptoms, syringing and CBCT DCG in a population of patients presenting with tearing. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001629DOI Listing

In Vivo Morphology of Nasolacrimal Duct Opening into the Inferior Meatus.

Ophthalmic Plast Reconstr Surg 2020 Apr 3. Epub 2020 Apr 3.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Purpose: To study the in vivo morphology of nasolacrimal duct (NLD) openings into the inferior meatus.

Methods: Patients undergoing endoscopic dacryocystorhinostomy and lacrimal intubation had endoscopic real-time examination of the NLD opening. Morphology of NLD openings (size, shape, mucosal folds), and their location from the axilla of the inferior turbinate were assessed. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001636DOI Listing

Inverted Papilloma of the Lacrimal Sac and Nasolacrimal Duct: A Case Report and Review of the Literature.

Cureus 2020 Feb 14;12(2):e6989. Epub 2020 Feb 14.

Otolaryngology, Head and Neck Surgery, Khoo Teck Puat Hospital, Singapore, SGP.

Inverted papillomas of the lacrimal sac and nasolacrimal duct are exceedingly rare. Though histologically benign, these tumors are locally aggressive, have propensity for recurrence and are associated with a chance of malignant transformation. These tumors can present in an innocuous manner, masquerading as more common conditions such as primary acquired nasolacrimal duct obstruction. Read More

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http://dx.doi.org/10.7759/cureus.6989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075512PMC
February 2020

A Retrospective Study of Establishment of Association Between Deviated Nasal Septum, Sinusitis and Chronic Dacryocystitis.

Indian J Otolaryngol Head Neck Surg 2020 Mar 2;72(1):70-73. Epub 2019 Nov 2.

Department of ENT, Navodaya Medical College, Raichur, Karnataka India.

The purpose of this study was to determine whether there is any correlation between dacryocystitis with deviated nasal septum and sinusitis. A retrospective study of 50 patients who were diagnosed with dacryocystitis were included in the study. The patients included were operated between July 2018 and February 2017. Read More

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http://dx.doi.org/10.1007/s12070-019-01745-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040112PMC

Infantile Endoscopic Dacryocystorhinostomy: Indications, Anatomical considerations, and Outcomes.

Ophthalmic Plast Reconstr Surg 2020 Feb 24. Epub 2020 Feb 24.

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

The purpose of this case series is to report the demographic profile, indications, anatomical considerations, and outcomes of Endonasal endoscopic DCR in the infants. Five eyes of 3 infants underwent IEnDCR with a mean age of 4.26 months (range: 23 days-8 months). Read More

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http://dx.doi.org/10.1097/IOP.0000000000001615DOI Listing
February 2020

In Vivo Morphological Study of Common Canalicular Orifice and Its Impact on Lacrimal Probing.

Ophthalmic Plast Reconstr Surg 2020 Mar 1. Epub 2020 Mar 1.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia.

Purpose: To study the in vivo morphology of common canalicular/lacrimal sac mucosal folds (CLS-MFs) and their relationship with probing findings.

Methods: Consecutive cases undergoing endoscopic dacryocystorhinostomy had endoscopic examination of the internal canalicular orifice (ICO). Details of CLS-MFs folds, probing findings, and outcomes of dacryocystorhinostomy were analyzed. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001601DOI Listing

Modified endoscopic Denker approach in management of inverted papilloma of the anterior maxillary sinus.

Int Forum Allergy Rhinol 2020 Apr 27;10(4):533-538. Epub 2020 Feb 27.

Department of Head and Neck Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.

Background: Inverted papilloma (IP) is a benign epithelial tumor of the sinonasal cavity that is locally aggressive and has a propensity for recurrence. Tumors involving the anterior maxillary sinus can be challenging to reach endoscopically, and have historically been approached through a Caldwell-Luc or canine fossa trephination. We present a case series of 22 patients with maxillary IPs originating from the anterior wall, which were successfully resected using a modified endoscopic Denker (MED) procedure. Read More

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http://dx.doi.org/10.1002/alr.22513DOI Listing

Dacryolith after a Le Fort I fracture: case report.

Int J Oral Maxillofac Surg 2020 Feb 18. Epub 2020 Feb 18.

Department of Ophthalmology, Armed Forces Capital Hospital, Seongnam, Republic of Korea.

A dacryolith is a rare finding and can be considered as a complication of a Le Fort I fracture. A case of dacryolith and nasolacrimal duct obstruction after surgery for a Le Fort I fracture is described, and the reasons for and prevention of this condition are discussed. Read More

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http://dx.doi.org/10.1016/j.ijom.2020.02.006DOI Listing
February 2020

Clinical efficacy comparison of low-temperature plasma radiofrequency ablation and Nd:YAG laser in treating recurrent acquired nasolacrimal duct obstruction.

Lasers Med Sci 2020 Feb 17. Epub 2020 Feb 17.

Eye Center, Affiliated Second Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou, 310009, China.

To evaluate the effectiveness and safety of low-temperature plasma radiofrequency ablation (coblation) and Nd:YAG laser in treating recurrent nasolacrimal duct obstruction. A prospective study was performed on patients who agreed to be treated with coblation or Nd:YAG laser for recurrent nasolacrimal duct obstruction after failed lacrimal Nd:YAG laser combined with silicone intubation. The visual analogue scale (VAS) pain grade was assessed at baseline, immediately, and 3 and 7 days after surgery. Read More

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http://dx.doi.org/10.1007/s10103-020-02982-8DOI Listing
February 2020

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review.

Int J Environ Res Public Health 2020 02 7;17(3). Epub 2020 Feb 7.

Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

Nasolacrimal duct obstruction (NLDO) is the most common cause of childhood epiphora. It is managed conservatively in the first year of life, after which surgical treatment is classically based on a stepwise paradigm of probing, intubation, and dacryocystorhinostomy. This systematic review aims to present the current role of intubation in the management of children with NLDO requiring surgical intervention. Read More

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http://dx.doi.org/10.3390/ijerph17031067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037191PMC
February 2020

Acute dacryocystitis with giant lacrimal abscess: a case report.

Ital J Pediatr 2020 Feb 3;46(1):15. Epub 2020 Feb 3.

Pediatrics Unit, Pisa University Hospital, Via Roma n. 67, 56126, Pisa, Italy.

Background: We report a case of a 4-year-old girl with acute dacryocystitis complicated with giant lacrimal abscess who underwent open dacryocystectomy as resolutive surgery.

Case Presentation: A 4-year-old previously healthy girl presented to the emergency department with a voluminous and erythematous, fluctuant warm mass localized inferiorly to the medial canthus of the right eye. She had a 2-week history of right inferior eyelid oedema and hyperemia, treated firstly with dexamethasone and netilmicin by eye drops, and then with per oral amoxicillin clavulanate. Read More

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http://dx.doi.org/10.1186/s13052-020-0779-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998065PMC
February 2020

Five- and 10-Year Outcomes for Primary Endoscopic Dacryocystorhinostomy: Failure Rate and Risk Factors.

Laryngoscope 2020 Feb 3. Epub 2020 Feb 3.

Department of Otolaryngology, Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.

Introduction: Endoscopic dacryocystorhinostomy (eDCR) is the preferred approach for nasolacrimal duct obstruction, yet quality data on long-term outcomes is lacking.

Study Design: A retrospective study in a single, academic institution.

Objective: To assess the 5- and 10-year success rates of eDCR, and its associated risks. Read More

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http://dx.doi.org/10.1002/lary.28528DOI Listing
February 2020

Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency.

Orbit 2020 Jan 29:1-6. Epub 2020 Jan 29.

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

: To study acute dacryocystitis in a pediatric age group, focusing on patients' demographic profiles, clinical presentation, and management outcome.: A retrospective case series of all acute dacryocystitis in pediatric patients (0-17 years) from two tertiary-care eye centres in Riyadh, Saudi Arabia was conducted. Demographic profile, risk factors, initial clinical presentation, management regimens, and final outcome were analysed. Read More

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http://dx.doi.org/10.1080/01676830.2020.1717548DOI Listing
January 2020

[Retrospective investigation of spontaneous bloody tears: a report of 27 cases].

Zhonghua Yan Ke Za Zhi 2020 Jan;56(1):53-58

Lacrimal Centre of Ophthalmology, the Third Medical Center, Chinese PLA General Hospital, Beijing 100039, China.

To summarize clinical experience on the clinical feature, etiology and treatment of patients with spontaneous bloody tears as the initial symptom. Retrospective series of case studies. The clinical data and follow-up data of 27 cases of bloody tears as the first symptom in Lacrimal Center of Ophthalmology, the Third Medical Center of Chinese PLA General Hospital from June 2015 to December 2018 were reviewed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0412-4081.2020.01.013DOI Listing
January 2020

Incision of Hasner's valve under endoscopic intranasal surgery for the treatment of nasolacrimal duct obstruction in children.

J Laryngol Otol 2020 Jan 10;134(1):56-62. Epub 2020 Jan 10.

Department IV, Endoscopic Endonasal Surgery and Oculoplastic Division, Quinze-Vingts National Center, Paris, France.

Objective: To evaluate the effectiveness and safety of a Hasner's valve incision performed under endoscopic intranasal surgery for the management of congenital nasolacrimal duct obstruction.

Methods: This retrospective study comprised 484 patients with congenital nasolacrimal duct obstruction who underwent incision of Hasner's valve under endoscopic intranasal surgery between April 2000 and October 2016. The primary endpoint was the procedure's functional success rate. Read More

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http://dx.doi.org/10.1017/S0022215119002597DOI Listing
January 2020

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting.

Ear Nose Throat J 2020 Jan 8:145561319900025. Epub 2020 Jan 8.

Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Objective: This study describes a surgical approach wherein a lobulated pedicled nasal mucosa flap technique was employed for endoscopic dacryocystorhinostomy (EDCR) as a means of treating nasolacrimal duct obstructions. This study also assessed the long-term outcomes of this EDCR approach when implemented without stenting.

Methods: This was a retrospective study of a total of 63 patients (67 eyes) treated for nasolacrimal duct obstructions between January 2011 and November 2016. Read More

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http://dx.doi.org/10.1177/0145561319900025DOI Listing
January 2020

Comparative study of stenting and ostium packing in Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction.

Sci Rep 2020 Jan 8;10(1):46. Epub 2020 Jan 8.

Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, New Territories, Hong Kong.

In this retrospective study, we compared the efficacy and safety of mechanical adjuvants in mucosal-sparing, mechanical endoscopic dacryocystorhinostomy (MMED) for primary acquired nasolacrimal duct obstruction (PANDO). 116 adult patients (90 female) aged 61 ± 11 received one of the following after MMED without topical mitomycin: no stenting or packing (group 1, n = 25), 1-week ostium packing by ribbon gauze (group 2, n = 29) or non-medicated absorbable gelatin sponge (group 3, n = 25), 8-week bicanalicular stenting (group 4, n = 28). 104 patients(92%) provided 12-month outcomes. Read More

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http://dx.doi.org/10.1038/s41598-019-57019-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949294PMC
January 2020
5.078 Impact Factor

External Dacryocystorhinostomy: A Comparison Of Ultrasonic Bone Aspiration To High-Speed Drilling.

Clin Ophthalmol 2019 17;13:2535-2540. Epub 2019 Dec 17.

Department of Ophthalmology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.

Purpose: Piezosurgical tools utilize high-frequency ultrasonic oscillations to selectively cut mineralized bone and minimize damage to soft tissue and mucosa. The purpose of this study was to directly compare outcomes in external dacryocystorhinostomy (DCR) using a piezoelectric ultrasonic bone aspirator (UBA) versus a high-speed electric drill with a diamond burr.

Methods: A retrospective chart review was conducted on 145 consecutive patients who underwent external DCR by a single oculoplastic surgeon between 2012 and 2017. Read More

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http://dx.doi.org/10.2147/OPTH.S221293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925547PMC
December 2019

Fibrous Dysplasia-like Lacrimal Sac Tumor Associated With Dacryocystitis.

Ophthalmic Plast Reconstr Surg 2020 Jan/Feb;36(1):e23-e24

From the Departments of Ophthalmology.

A 72-year-old woman who presented with right-sided epiphora and conjunctivitis underwent a probing and irrigation procedure with normal results. She improved with antibiotic-steroid drops. A swelling in the medial canthal region completely resolved. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001526DOI Listing
January 2020

Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect.

Sci Rep 2019 12 27;9(1):19861. Epub 2019 Dec 27.

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

There is limited evidence in literature determining age effect on outcomes of endoscopic dacryocystorhinostomy (EDCR) in adult patients with primary acquired nasolacrimal duct obstruction (NLDO). We aimed to analyze the outcomes of EDCR according to age in primary acquired NLDO. A retrospective study was performed on consecutive adult patients and patients were divided into two age groups; group 1 (aged to 61 years) and group 2 (aged 62 to 89 years) based on the average value. Read More

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http://dx.doi.org/10.1038/s41598-019-56491-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934695PMC
December 2019

Loss of Pacer Spikes as electrocardiographic (EKG) Artifact Due to Microdebrider Use During Endoscopic Dacryocystorhinostomy.

Ophthalmic Plast Reconstr Surg 2020 Mar/Apr;36(2):e50-e51

Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, U.S.A.

As intraoperative use of electronic equipment becomes more common, familiarity with the potential for electrocardiographic artifact generated by these instruments is increasingly important. The authors' patient underwent endoscopic dacryocystorhinostomy under general anesthesia for treatment of acute on chronic dacryocystitis secondary to acquired nasolacrimal duct obstruction. She had previously had pacemaker placement for treatment of sick sinus syndrome and low ejection fraction heart failure, and use of a microdebrider intraoperatively resulted in loss of pacer spikes and interference signal on electrocardiographic leading to placement of a magnet. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001562DOI Listing
December 2019

as a pathogen of a Jones tube infection following conjunctivo-dacryocystorhinostomy.

Orbit 2019 Dec 20:1-3. Epub 2019 Dec 20.

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

A 35-year-old woman complained of an unpleasant odor for a few days after a change in foundation cream. The patient had previously undergone conjunctivo-dacryocystorhinostomy with a Jones tube fixed with non-absorbable suture. Slit-lamp examination revealed an orange-colored discharge in the tube. Read More

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http://dx.doi.org/10.1080/01676830.2019.1688359DOI Listing
December 2019

Comparison of a manometric tear duct irrigation test with dacryoscintigraphy in the investigation of epiphora.

Orbit 2019 Dec 20:1-5. Epub 2019 Dec 20.

Department of Ophthalmology, Royal Berkshire Hospitals NHS Foundation trust, Reading, UK.

: Assessment of lacrimal resistance in patients with patent lacrimal systems is important in determining whether dacryocystorhinostomy (DCR) surgery is appropriate. Current techniques, including lacrimal syringing and dacryoscintigraphy (DSG), can be unreliable. We compare the results of a manometric tear duct test (mTDT) irrigation technique with DSG in these patients. Read More

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http://dx.doi.org/10.1080/01676830.2019.1704033DOI Listing
December 2019

Are systemic antibiotics required during and after dacryocystitis-related dacryocystorhinostomy?

Orbit 2019 Dec 20:1-2. Epub 2019 Dec 20.

Ophthalmic Plastic Surgery, Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Albany, New York, USA.

: To compare the outcomes of patients with and without a history of dacryocystitis that undergo dacryocystorhinostomy without systemic intra- and post-operative antibiotics.: A retrospective review was performed to identify all cases of patients that received surgery under this paradigm and had at least three months of follow up care. Key demographic and outcome data were captured, and a statistical analysis was performed via a dedicated software package (Microsoft Excel, Redmond, WA). Read More

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http://dx.doi.org/10.1080/01676830.2019.1704798DOI Listing
December 2019

Late onset DCR surgical site herpes zoster in an immunocompetent patient: A rare presentation.

Indian J Ophthalmol 2020 01;68(1):202-203

Department of Oculoplasty, Sankara Eye Hospital, Jaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/ijo.IJO_1007_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951150PMC
January 2020

Shifting to very early endoscopic DCR in acute suppurative dacryocystitis.

Eye (Lond) 2019 Dec 10. Epub 2019 Dec 10.

Ophthalmology Department, Farabi Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: We aimed to show the outcome of very early endoscopic dacryocystorhinostomy (VE-EDCR) in a routine pool of patients with acute dacryocystitis (AD) and abscess formation compared with the standard late external dacryocystorhinostomy L-ExDCR.

Methods: This was a prospective nonrandomized comparative study conducted from June 2013 to March 2016. Patients with AD and abscess formation were referred to our oculo-facial clinic in a university-based hospital. Read More

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http://dx.doi.org/10.1038/s41433-019-0734-2DOI Listing
December 2019

Nasolacrimal duct obstruction secondary to lacrimal sac involvement by sebaceous carcinoma.

Orbit 2019 Dec 6:1-4. Epub 2019 Dec 6.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, The University of Adelaide, Australia.

Sebaceous carcinoma (SC) is the third most common eyelid malignancy in Australia, and is potentially fatal. It usually presents as a nodule or diffuse eyelid thickening, and is commonly misdiagnosed. We describe a case of SC with lacrimal sac involvement, presenting with clinical features of nasolacrimal duct obstruction. Read More

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http://dx.doi.org/10.1080/01676830.2019.1700282DOI Listing
December 2019

The Microbiome of the Nasolacrimal System and Its Role in Nasolacrimal Duct Obstruction.

Ophthalmic Plast Reconstr Surg 2020 Jan/Feb;36(1):80-85

Department of Surgery, Otorhinolaryngology Head and Neck Surgery, The University of Adelaide, Adelaide, Australia.

Purpose: Acquired nasolacrimal duct obstruction (NLDO) is a common problem leading to epiphora, the pathophysiology of which remains unclear. Culture-based studies have found Staphylococcal species to be the most prevalent organisms, reported in 47% to 73% of patients with NLDO. Recently, culture-independent molecular methods of have allowed more comprehensive detailing of local microbiota. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001473DOI Listing
December 2019