Manometric Measurement of Lacrimal Sac Pressure after Endoscopic and External Dacryocystorhinostomy

2003 ◽  
Vol 123 (2) ◽  
pp. 325-329 ◽  
Author(s):  
Reda Kamel ◽  
Hany Gamal El-deen ◽  
Yehia Salah El-deen ◽  
Mohamed El-hamshary ◽  
Atef Assal ◽  
...  
2021 ◽  
Author(s):  
Bayasgalan Purevdorj ◽  
Uranchimeg Dugarsuren ◽  
Bulgan Tuvaan ◽  
Baasankhuu Jamiyanjav

Orbit ◽  
2013 ◽  
Vol 32 (5) ◽  
pp. 278-280 ◽  
Author(s):  
Bahram Eshraghi ◽  
Hesam Hashemian ◽  
Masoud Aghsaei Fard ◽  
Mona Safizadeh

2021 ◽  
pp. 88-92
Author(s):  
Selim GENÇ ◽  
Taha AYYILDIZ ◽  
Osman ŞALKACI ◽  
İ̇brahim Ali HASSAN ◽  
İ̇brahim Abdi KEİNAN ◽  
...  

2016 ◽  
Vol 24 (3) ◽  
pp. 129-135
Author(s):  
Sudip Kumar Das ◽  
Chiranjib Das ◽  
Amit Bikram Maiti ◽  
Ruma Guha ◽  
Subhendu Chowdhury

Introduction Over last two decades endoscopic dacryocystorhinostomy has gained popularity over external dacryocystorhinostomy for post-canalicular obstruction. But the success rate is not very satisfactory. Our objective is to describe a technique where near 100% success can be achieved. Materials and Methods The study was conducted on 92 patients over 4 years and 6 months. The technique we describe involves creation of a large ostium, creation and apposition of nasal and lacrimal sac mucosal flaps. All the patients were under regular follow-up for12 months after operation. We also compared our result with other techniques. Results                                        The neo-ostium was well healed and free flow of normal saline was seen in 90 cases (97.83%) post-operatively. In one case there was ostium fibrosis and in another case granulations were seen. Conclusion For the past few decades many approaches have been tried for endoscopic dacryocystorhinostomy. But the long term success rates have not been satisfactory. Our technique of creating large stoma and proper mucosal apposition, when done properly gives near 100% success.


2007 ◽  
Vol 137 (3) ◽  
pp. 497-499 ◽  
Author(s):  
Ricardo Demarco ◽  
Alex Strose ◽  
Marcos Araújo ◽  
Fabiana Cardoso Pereira Valera ◽  
Iracema Moribe ◽  
...  

OBJECTIVES: To observe the benefit of endoscopic surgery for the treatment of lacrimal duct obstruction in revisional surgeries after external dacryocystorhinostomy. STUDY DESIGN AND SETTING: Retrospective nonrandomized study. Eleven cases of recurrent lacrimal duct obstruction after external dacryocystorhinostomy were submitted to endoscopic dacryocystorhinostomy. RESULTS: The rate of success after revisional surgery was 90.9%. The major causes of failure of the external approach were the presence of granulation tissue, septal deviations and synechiae near the opening of the fistula, inadequate removal of the bony wall adjuvant the lacrimal sac, technical error in the localization of the lacrimal sac, and excessive perioperative bleeding that impaired the surgical field. CONCLUSION: Endoscopic dacryocystorhinostomy in revisional cases proved to be a safe technique of low morbidity, permitting effective resolution of the lacrimal obstructions. SIGNIFICANCE: Endoscopic surgery allows greater visibility of the lacrimal sac and its neighbor anatomic alterations and leads to better results.


2021 ◽  
Vol 14 (5) ◽  
pp. e240942
Author(s):  
Paolo Scollo ◽  
Rhys Davies ◽  
Dominic O'Donovan ◽  
Cornelius Rene

A 35-year-old woman underwent left external dacryocystorhinostomy (DCR) following a recent bout of left acute dacryocystitis. She had a right DCR 14 years earlier. Her relatively young age of presentation prompted suspicion of secondary nasolacrimal duct obstruction and, although the left lacrimal sac appeared macroscopically normal peroperatively, a lacrimal sac biopsy was taken. Histopathology revealed florid chronic inflammation, with abundant granular brown pigment and polarisable crystals suggestive of an exogenous material in the lacrimal sac mucosa compatible with mascara. After initial improvement, her epiphora has recurred 1-year postoperatively, but her ocular discharge has resolved. Mascara-induced conjunctival pigmentation is well established. However, there are very few published reports of nasolacrimal duct obstruction due to mascara. Since cosmetic application of mascara and kohl eyeliner is widespread, patients and practitioners should be aware of their potential to migrate into the lacrimal apparatus and cause chronic inflammation with secondary nasolacrimal duct obstruction.


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