Lacrimal Sac Empyema Incision and Drainage Followed by Early External Dacryocystorhinostomy

Orbit ◽  
2013 ◽  
Vol 32 (5) ◽  
pp. 278-280 ◽  
Author(s):  
Bahram Eshraghi ◽  
Hesam Hashemian ◽  
Masoud Aghsaei Fard ◽  
Mona Safizadeh
Keyword(s):  
Lacrimal Sac ◽  
Incision And Drainage ◽  
External Dacryocystorhinostomy

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 ◽  
...  
Keyword(s):  
Lacrimal Sac ◽  
External Dacryocystorhinostomy ◽  
Manometric Measurement

scholarly journals Anatomy of lacrimal sac fossa affecting success rate in endoscopic and external dacryocystorhinostomy surgery in Mongolians

2021 ◽  
Author(s):  
Bayasgalan Purevdorj ◽  
Uranchimeg Dugarsuren ◽  
Bulgan Tuvaan ◽  
Baasankhuu Jamiyanjav
Keyword(s):  
Success Rate ◽  
Lacrimal Sac ◽  
External Dacryocystorhinostomy

scholarly journals Recurrent lacrimal abscess in infant

2014 ◽  
Vol 6 (2) ◽  
pp. 121-123
Author(s):  
Monojit Mondal ◽  
Biswajit Biswas ◽  
Sumanta Laha ◽  
Atanu Roy ◽  
Kanai Lal Barik ◽  
...  
Keyword(s):  
Standard Treatment ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Nasolacrimal Duct ◽  
Lacrimal Sac ◽  
Medical Sciences ◽  
Incision And Drainage ◽  
One Year ◽  
Antibiotic Cover ◽  
Main Complication

Acute dacryocystitis at or shortly after birth is uncommon and its main complication, formation of lacrimal sac abscess, is rare. Uniform and standard treatment protocol for this condition has not been established till date. We report on a 2 month old infant with an abscess of the lacrimal sac. He was treated for similar condition on day 6 of his life by incision and drainage; unfortunately, the condition recurs. This time, he was managed with incision and drainage under systemic antibiotic cover; and an early probing of the nasolacrimal duct (NLD) was done on 7th post-operative day. The patient was followed up for a period of one year without any further recurrence and complication. Pathophysiology of the condition and possible treatment options in children have been discussed.DOI: http://dx.doi.org/10.3126/ajms.v6i2.10458Asian Journal of Medical Sciences Vol.6(2) 2015 121-123

scholarly journals The outcomes of external dacryocystorhinostomy with bicanalicular silicone knot started in the lacrimal sac without suturing posterior flap

2021 ◽  
pp. 88-92
Author(s):  
Selim GENÇ ◽  
Taha AYYILDIZ ◽  
Osman ŞALKACI ◽  
İ̇brahim Ali HASSAN ◽  
İ̇brahim Abdi KEİNAN ◽  
...  
Keyword(s):  
Lacrimal Sac ◽  
Posterior Flap ◽  
External Dacryocystorhinostomy

scholarly journals Complete Vision Loss following Orbital Cellulitis Secondary to Acute Dacryocystitis

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Margaret L. Pfeiffer ◽  
Alexander Hacopian ◽  
Helen Merritt ◽  
Margaret E. Phillips ◽  
Karina Richani
Keyword(s):  
Visual Acuity ◽  
Vision Loss ◽  
Orbital Cellulitis ◽  
Close Monitoring ◽  
Light Perception ◽  
Lacrimal Sac ◽  
Surgical Incision ◽  
Incision And Drainage ◽  
Severe Vision Loss ◽  
Prompt Diagnosis

We present a case of a 50-year-old woman with acute dacryocystitis that was complicated by posterior rupture of the lacrimal sac causing an orbital cellulitis with subsequent visual acuity of no light perception. Upon presentation, she was immediately started on broad-spectrum antibiotics and underwent surgical incision and drainage of the lacrimal sac abscess but never regained vision. There are 4 cases in the literature of permanent severe vision loss from acute dacryocystitis. Prompt diagnosis and close monitoring of acute dacryocystitis are therefore essential to prevent extension into the orbit and possible optic nerve compromise.

scholarly journals Reliable technique of Endoscopic Dacryocystorhinostomy – A Pilot Study

2016 ◽  
Vol 24 (3) ◽  
pp. 129-135
Author(s):  
Sudip Kumar Das ◽  
Chiranjib Das ◽  
Amit Bikram Maiti ◽  
Ruma Guha ◽  
Subhendu Chowdhury
Keyword(s):  
Pilot Study ◽  
Success Rates ◽  
Lacrimal Sac ◽  
Reliable Technique ◽  
Endoscopic Dacryocystorhinostomy ◽  
The Past ◽  
Canalicular Obstruction ◽  
External Dacryocystorhinostomy

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.

Endoscopic Revision of External Dacryocystorhinostomy

2007 ◽  
Vol 137 (3) ◽  
pp. 497-499 ◽  
Author(s):  
Ricardo Demarco ◽  
Alex Strose ◽  
Marcos Araújo ◽  
Fabiana Cardoso Pereira Valera ◽  
Iracema Moribe ◽  
...  
Keyword(s):  
Endoscopic Surgery ◽  
Revisional Surgery ◽  
Lacrimal Sac ◽  
Lacrimal Duct ◽  
Lacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy ◽  
Perioperative Bleeding ◽  
External Dacryocystorhinostomy ◽  
Rate Of Success

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.

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