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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 2018 Nov 20:194599818813123. 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

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) 2018 Sep 18. 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 Dec 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

Can J Ophthalmol 2018 Aug 16;53(4):e144-e148. Epub 2017 Dec 16.

Khoo Teck Puat Hospital, Yishun, Singapore.

Clin Otolaryngol 2019 Jan 6;44(1):70-72. Epub 2018 Sep 6.

Otorhinolaryngology Clinic, Balıkesir Ataturk State Hospital, Balikesir, Turkey.

Med J Armed Forces India 2018 Jul 29;74(3):255-263. Epub 2017 Oct 29.

Classified Specialist (ENT-HNS), Base Hospital, Delhi Cantt 110010, India.

Background: We compared balloon dacryocystorhinostomy with conventional endoscopic dacryocystorhinostomy for the management of acquired distal nasolacrimal obstruction and the quality of life post procedure.

Methods: 98 patients, aged 10-73 years, were recruited and randomized into 2 groups of 49 each who underwent conventional endoscopic dacryocystorhinostomy (group 1) and 9 mm balloon assisted endoscopic dacryocystorhinostomy (group 2). Follow-up sessions were conducted at 3, 6 and 12 months post-op. Read More

Orbit 2018 Jul 30:1-5. Epub 2018 Jul 30.

b Oftalmoplastica Roma , Roma , Italy.

Purpose: To report the surgical outcome of external dacryocystorhinostomy (DCR) in children treated for congenital nasolacrimal duct obstruction (CNLDO) at a single tertiary eye hospital.

Materials And Methods: The medical records of 44 consecutive paediatric patients who underwent external DCR with silicon tube intubation from January 2002 to December 2015 were retrospectively reviewed. Age at the time of surgery ranged from 2 to 12 years. Read More

Indian J Ophthalmol 2018 08;66(8):1161-1164

Department of Ophthalmology, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey.

Purpose: The purpose of the study was to evaluate the functional success rates using dacryoscintigraphy (DSG) after transcanalicular diode laser dacryocystorhinostomy (TDL-DCR).

Methods: In this retrospective study, we investigated the records of 56 patients who underwent TDL-DCR for unilateral primary acquired nasolacrimal duct obstruction and anatomic patency was achieved. The lacrimal drainage systems of the other eyes of the patients were normal and were selected as control group. Read More

HNO 2018 Oct;66(10):751-759

Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Universitätsklinikum Halle (Saale), Halle, Deutschland.

Background: The cardinal symptom of lacrimal stenosis is epiphora and a subjective high level of discomfort due to continuous dacryorrhea.

Objective: The aim of the current paper is to present a structured review of common diagnostic and therapeutic strategies for lacrimal stenosis.

Materials And Methods: The most important diagnostic and therapeutic approaches are analysed using the existing literature and by reporting the authors' own experiences. Read More

Am J Otolaryngol 2018 Sep - Oct;39(5):592-593. Epub 2018 Jul 10.

Department of Ophthalmology, New York Presbyterian Hospital - Weill Cornell Medical College, NY, New York, USA.

Purpose: The purpose of the study was to determine the association between early post-operative improvement in tearing and the long-term success rate of endoscopic dacryocystorhinostomy (eDCR).

Methods: A retrospective review of consecutive patients who underwent eDCR and were followed up for at least 6 months at our institution from January 2010 to December 2017 was performed.

Results: 47 cases(39 patients) of eDCR met the inclusion and exclusion criteria during this time period. Read More

J Laryngol Otol 2018 Aug 12;132(8):718-723. Epub 2018 Jul 12.

Department of Otolaryngology, Head and Neck Surgery,Okmeydanı Research and Training Hospital,Istanbul,Turkey.

Objective: This prospective, controlled study assessed how placing a stent into a newly formed ostium affects ostial patency, success and complication rates in endoscopic dacryocystorhinostomy patients.

Methods: In group 1 (40 eyes of 36 patients), both silicone tube intubation and tube stenting were performed. In group 2 (36 eyes of 34 patients), only silicone tube intubation was performed. Read More

Ocul Immunol Inflamm 2018 Jul 9:1-8. Epub 2018 Jul 9.

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

Ocular lichen planus (LP) is a rare disease which has been increasingly reported in the literature in the last two decades involving conjunctiva, cornea, and lacrimal drainage system. Most reported cases of ocular LP are cicatricial conjunctivitis with subepithelial fibrosis, fornix shortening, and symblepharon formation. It is not clear whether corneal involvement is a primary event or secondary to these changes. Read More

Indian J Otolaryngol Head Neck Surg 2018 Jun 17;70(2):299-305. Epub 2018 Feb 17.

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

To study the outcome and complications of endoscopic endonasal dacryocystrhinostomy without stenting. Randomised prospective observational design. Tertiary academic centre. Read More

Indian J Otolaryngol Head Neck Surg 2018 Jun 28;70(2):240-243. Epub 2017 Feb 28.

Department of E.N.T., Tata Main Hospital, Bistupur, Jamshedpur, Jharkhand 831001 India.

Endoscopic dacryocystorhinostomy (DCR) is usually done in cases of lacrimal apparatus obstruction. The common causes of failure are that of obstruction in the common canaliculus and closure of the rhinostomy site. To overcome these problems we use stents. Read More

Vestn Otorinolaringol 2018;83(3):88-93

Federal budgetary institution of science 'G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology Clinical Otorhinolaryngology, Federal Service on Surveillance for Consumer Rights Protection and Human Well-Being', Moscow, Russia, 125212.

The primary objective of the present study was to highlight the current state of research on the pathology of the lacrimal organs based on the results of the analysis of the relevant publications in the domestic and foreign scientific literature. Special attention in this review is given to the problems of diagnostics, indications for the probing, the treatment and stenting strategies. The authors report their original observations contributing to the better understanding of the anatomical features of the nasolacrimal passages. Read More

Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):45-49

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

Purpose: To describe the demographics, presentation, treatment, and outcome in 10 cases of lacrimal sac diverticulum and to review the literature on this topic, and to determine the incidence of diverticula from a series of dacryocystograms.

Methods: Data were collected for all consecutive patients with lacrimal sac diverticulum seen between 2003 and 2015, including patient demographics, clinical presentation, imaging findings, treatment, and follow-up. A systematic literature review was performed for cases of lacrimal sac diverticulum. Read More

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):324-328

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham.

Purpose: This study will determine the safety of laryngeal mask airway (LMA) compared with endotracheal tube (ETT) in patients undergoing general anesthesia for dacryocystorhinostomy (DCR) surgery.

Methods: In this retrospective cohort study, intraoperative and postoperative outcomes of patients who underwent DCR at UAB Callahan Eye Hospital using either LMA or ETT were compared.

Results: Over a period of 52 months, 429 patients underwent external DCR surgery. Read More

Case Rep Ophthalmol 2018 May-Aug;9(2):283-286. Epub 2018 May 24.

Department of Ophthalmology and Vision Sciences, University of California Davis Medical Center, Sacramento, California, USA.

A 79-year-old female with a history of keratoconjunctivitis sicca presented with several years of epiphora of both eyes. Thirteen years earlier, intracanalicular Herrick lacrimal plugs (Lacrimedics, Eastsound, WA, USA) had been placed in both eyes to treat her dry eye syndrome. After 13 years the patient felt the epiphora was intolerable and underwent endoscopic dacryocystorhinostomy (DCR) of the left, then the right side. Read More

Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):42-44

Stein Eye Institute, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, U.S.A.

Purpose: To compare the results of cultures of the proximal and distal segments of silicone tubes after dacryocystorhinostomy.

Methods: The medical records of patients undergoing a dacryocystorhinostomy and silicone intubation were reviewed. The inclusion criteria were cultures of both distal and proximal stent segments after removal, dye testing, evaluation of the tear meniscus, and notation of the presence or absence of discharge before and after removal. Read More

Middle East Afr J Ophthalmol 2018 Jan-Mar;25(1):35-39

Department of Ophthalmology, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Purpose: The purpose of this study was to evaluate the changes of conjunctival bacterial flora 1 year after successful dacryocystorhinostomy (DCR).

Methods: Seventy-two consecutive adult patients with successful DCR were enrolled in this study. We obtained conjunctival cultures from the operated eyes, fellow eyes, and nasal mucosa of the operated side 1 year after the operation. Read More