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1.
Int. arch. otorhinolaryngol. (Impr.) ; 23(2): 191-195, 2019. tab
Article in English | LILACS | ID: biblio-1015264

ABSTRACT

Introduction: Bilateral simultaneous endoscopic dacryocystorhinostomy (endo-DCR) has received little attention in the literature, thus many surgeons continue to address bilateral nasolacrimal duct obstruction at two stages, rather than in the same setting. Objective: To evaluate the feasibility and the outcome of simultaneous bilateral Endo- DCR and its impact on the quality of life of the patients. Methods: We have conducted a retrospective analysis of patients who underwent bilateral simultaneous endo-DCR between March 2013 and February 2017 at our tertiary care institution. The reviewed data included clinical presentation; operative details; success rate; pre and postoperative evaluation of the symptoms of the patients, using the Nasolacrimal Duct Obstruction Symptom Score Questionnaire; satisfaction of the patients, and improvement in the quality of life, assessed by the Glasgow Benefit Inventory (GBI) questionnaire. Results: Out of 128 cases in which endo-DCRs were performed, 13 were bilateral (26 sides). Postoperative success was documented in 24 of the 26 sides (92.3%), with a mean follow-up duration of 16.2 months. The two failed sides were reported in the same case. The preoperative symptom score ranged between 12 and 80 (mean ± standard deviation [SD]: 38.23 ± 15.7). The postoperative symptom score was significantly lower (mean ± SD: 5.4 ± 12.9). The success rates in unilateral and bilateral cases were comparable, with no statistically significant difference. A notable improvement in the quality of life of the patients was also reported, with a mean GBI score of 81.38 ± 12.37. Conclusion: Our results support that a simultaneous bilateral endo-DCR is a safe procedure that offers a high success rate, spares the patient from the stress of a second surgery, provides the patient with a bilateral resolution of the symptoms, and confers an immediate improvement in the quality of life of the patients (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Quality of Life , Dacryocystorhinostomy/methods , Endoscopy , Postoperative Care , Preoperative Care , Lacrimal Apparatus Diseases/surgery , Lacrimal Apparatus Diseases/pathology , Nasolacrimal Duct/pathology
2.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2018; 28 (3): 210-213
in English | IMEMR | ID: emr-163440

ABSTRACT

Objective: To evaluate the state of refraction in children with bilateral congenital nasolacrimal duct obstruction [CNLDO]


Study Design: Descriptive study


Place and Duration of Study: Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan, from April 2014 to April 2016


Methodology: Children with bilateral CNLDO were studied. Patients' refractive status were evaluated by performing cycloplegic refraction, followed by appropriate management plan. The refractive errors of both eyes were noted and compared for any significant anisometropia


Results: One hundred and seventeen [n=117] children with median age [IQR] of 32 [12] months having bilateral CNLDO were enrolled. Children with bilateral CNLDO had insignificant interocular difference in terms of spherical equivalent [SE] and cylindrical refractive errors [p>0.05]. The rate of the anisometropia [>/=1 D difference between the two eyes] was 5.98% [n=7] in children with bilateral CNLDO


Conclusion: Performing cycloplegic refraction routinely in patients with bilateral CNLDO is not as urgent as compared to ones with unilateral CNLDO. Further, avoidance of early surgical intervention in children with bilateral CNLDO will spare the parents from the emotional trauma and positively influence the health economics worldwide


Subject(s)
Humans , Male , Female , Child, Preschool , Refractive Errors , Nasolacrimal Duct/abnormalities , Nasolacrimal Duct/pathology , Child
3.
Arq. bras. oftalmol ; 80(3): 172-175, May-June 2017. tab, graf
Article in English | LILACS | ID: biblio-888117

ABSTRACT

ABSTRACT Purpose: To compared the ultrasound findings of the lacrimal sac between subjects with normal lacrimal systems those with chronic dacryocystitis. Methods: A retrospective study of 10 subjects with a normal lacrimal system (Group 1) and 10 with chronic dacryocystitis (Group 2) diagnosed according to B-mode ultrasound with a 10-MHz transducer and the direct-contact technique (AVISO, Quantel Medical) for lacrimal sac assessment. We analyzed the dimensions, features, and content of the sacs. Characteristics of the population: female: 6, Group 1; 8, Group 2; mean age 48.4 years (SD=19.9; range, 22-80 years), Group 1; 50.5 years (SD=15.5; range, 25-75 years), Group 2. Results: The dimensions of the lacrimal sac were as follows: anteroposterior 1.86 and 10.99 mm in Groups 1 and 2, respectively, p<0.0001; vertical 9.79 and 14.13 mm in Groups 1 and 2, respectively, p=0.049. Qualitative evaluation of the lacrimal sac contents showed hypoechogenic content in Group 1 (10, 100%) and hyperechogenic punctiform content in Group 2 (10, 100%) with partial filling in seven cases (70%). Conclusions: Ultrasonography can differentiate normal lacrimal sacs from sacs compromised by chronic dacryocystitis, thus being useful as an adjunct to clinical examination and surgical planning.


RESUMO Objetivo: Categorizar os achados ultrassonográficos do saco lacrimal em indivíduos com via lacrimal normal e em portadores de dacriocistite crônica. Métodos: Estudo retrospectivo de 20 indivíduos, 10 com via lacrimal normal (Grupo 1) e 10 com diagnóstico de dacriocistite crônica (Grupo 2) utilizando ultrassonografia modo B com transdutor de 10 MHz e técnica de contato (Aviso, Quantel Medical) para avaliar o saco lacrimal. Analisamos os seguintes parâmetros: dimensões, características e conteúdo. Resultados: Características da população estudada: sexo feminino: 6, Grupo 1; 8, Grupo 2; idade média: 48,4 anos (DP=19,93; variação, 22 a 80 anos), Grupo 1; 50,5 anos (DP=15,47; variação, 25 a 75 anos), Grupo 2. As dimensões do saco lacrimal foram aferidas: anteroposterior, 1,86 mm no Grupo 1 e 10,99 mm no Grupo 2, p<0,0001; vertical, 9,79 mm no Grupo 1 e 14,13 mm no Grupo 2, p=0,049. A avaliação qualitativa do conteúdo do saco lacrimal mostrou: conteúdo hipoecogênico no Grupo 1 (10, 100%); e conteúdo puntiforme hiperecogênico no Grupo 2 (10, 100%), com preenchimento parcial em 7 casos (70%). Conclusão: A ultrassonografia foi capaz de diferenciar a via lacrimal normal da acometida por dacriocistite crônica, e de determinar parâmetros úteis para suportar o acompanhamento clínico ou auxiliar no planejamento cirúrgico.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Dacryocystitis/pathology , Nasolacrimal Duct/pathology , Nasolacrimal Duct/diagnostic imaging , Organ Size , Case-Control Studies , Chronic Disease , Reproducibility of Results , Retrospective Studies , Ultrasonography/methods , Lacrimal Duct Obstruction/pathology , Lacrimal Duct Obstruction/diagnostic imaging
4.
Arq. bras. oftalmol ; 79(5): 333-335, Sept.-Oct. 2016. tab, graf
Article in English | LILACS | ID: biblio-827961

ABSTRACT

ABSTRACT Lacrimal sac tumors are rare with a clinical presentation that typically includes obstruction of the lacrimal drainage system and epiphora as the most frequent symptom. Cribriform adenoid cystic carcinoma (ACC) is the most common malignant epithelial tumor of the lacrimal gland and minor salivary glands; however, its occurrence in the lacrimal drainage apparatus is extremely rare. Given the rarity of ACC, definitive diagnosis is almost invariably late conferring a poor prognosis. Herein we report the case of a 41-year-old woman with primary ACC of the lacrimal sac and describe the ophthalmological examination, diagnosis, and multidisciplinary treatment of this rare type of tumor.


RESUMO Tumores do saco lacrimal são raros. A apresentação clínica muitas vezes mostra uma obstrução no sistema de drenagem lacrimal sendo a epífora o sinal mais frequente. Carcinoma adenóide cístico cribriforme (ACC) é o tumor epitelial maligno mais comum da glândula lacrimal e glândulas salivares menores, mas a sua ocorrência no aparelho de drenagem lacrimal é extremamente rara. Infelizmente, devido a raridade destes tumores, o diagnóstico preciso é quase sempre atrasado, o que por sua vez leva a um pior prognóstico. Nós relatamos o caso de uma mulher de 41 anos de idade, com ACC primário do saco lacrimal e analisamos o exame oftalmológico, diagnóstico e tratamento multidisciplinar deste tipo de tumor.


Subject(s)
Humans , Female , Adult , Carcinoma, Adenoid Cystic/pathology , Eye Neoplasms/pathology , Lacrimal Apparatus Diseases/pathology , Nasolacrimal Duct/pathology , Magnetic Resonance Imaging/methods , Carcinoma, Adenoid Cystic/therapy , Eye Neoplasms/therapy , Lacrimal Apparatus Diseases/therapy
5.
MEAJO-Middle East African Journal of Ophthalmology. 2013; 20 (3): 198-200
in English | IMEMR | ID: emr-130507

ABSTRACT

To determine the prevalence of various causes of tearing among patients referred to an oculoplastic clinic. A prospective study on all patients seen in an oculoplastic clinic with a chief complaint of tearing. The cause of tearing was determined on the basis of the anatomical location of the primary etiology. This study included 357 patients with a mean age 53.9 years. Punctal stenosis was the most common etiology, affecting 37.8% of the patients. Among patients with punctual stenosis, 63.4% were women over 50-year-old [P = 0.001]; 55.6% had tearing for less than 6 months [P = 0.038], and all of them had associated chronic blepharitis. The remaining study participants had dry eye with reflex tearing [27.7%], nasolacrimal duct obstruction [10.1%], canalicular obstruction [4.2%], entropion or ectropion [3.4%], pterygium [1.7%], megalo-caruncle [1.7%], and functional tearing [1.7%]. The outcomes of this study indicate the most common cause of tearing is punctal pathology. Therefore, slit lamp evaluation with careful attention to the punctum is warranted in all patients with tearing


Subject(s)
Humans , Female , Male , Blepharitis , Nasolacrimal Duct/pathology , Prospective Studies , Prevalence , Lacrimal Duct Obstruction
6.
Korean Journal of Ophthalmology ; : 126-129, 2013.
Article in English | WPRIM | ID: wpr-143906

ABSTRACT

Here, we report an extremely rare case of acquired nasolacrimal duct obstruction caused by oncocytic carcinoma. A 64-year-old man presented to the hospital complaining of epiphora and left-side nasal obstruction. Ophthalmic and otolaryngology examination revealed a left lacrimal duct obstruction caused by a mass in the left nasal cavity and lacrimal drainage system. The mass was removed and confirmed as an oncocytic carcinoma. Nine months after surgery, without adjuvant radiotherapy, a left orbital mass was observed and the patient underwent reoperation. The mass proved to be recurrent oncocytic carcinoma. The patient underwent adjuvant radiotherapy to eradicate any residual tumor and the patient remains tumor-free one year post-radiotherapy.


Subject(s)
Humans , Male , Middle Aged , Adenoma, Oxyphilic/complications , Lacrimal Duct Obstruction/etiology , Nasolacrimal Duct/pathology , Neoplasm Recurrence, Local/complications , Nose Neoplasms/complications , Reoperation
7.
Korean Journal of Ophthalmology ; : 126-129, 2013.
Article in English | WPRIM | ID: wpr-143899

ABSTRACT

Here, we report an extremely rare case of acquired nasolacrimal duct obstruction caused by oncocytic carcinoma. A 64-year-old man presented to the hospital complaining of epiphora and left-side nasal obstruction. Ophthalmic and otolaryngology examination revealed a left lacrimal duct obstruction caused by a mass in the left nasal cavity and lacrimal drainage system. The mass was removed and confirmed as an oncocytic carcinoma. Nine months after surgery, without adjuvant radiotherapy, a left orbital mass was observed and the patient underwent reoperation. The mass proved to be recurrent oncocytic carcinoma. The patient underwent adjuvant radiotherapy to eradicate any residual tumor and the patient remains tumor-free one year post-radiotherapy.


Subject(s)
Humans , Male , Middle Aged , Adenoma, Oxyphilic/complications , Lacrimal Duct Obstruction/etiology , Nasolacrimal Duct/pathology , Neoplasm Recurrence, Local/complications , Nose Neoplasms/complications , Reoperation
8.
Scientific Journal of Al-Azhar Medical Faculty [Girls] [The]. 2004; 25 (1): 271-278
in English | IMEMR | ID: emr-111654

ABSTRACT

Evaluation and comparison of the safety and efficacy of low dose of mitomycin C [0:2 mg/ml] with lacrimal probing and silicone intubation in adult epiphora, were performed in 46 eyes of 36 adult patients suffering from epiphora due to nasolacrimal duct obstruction. They were divided into 2 groups:-Group I: included 25 eyes treated by probing of NLD with adjunctive washing the duct with MMC. Group II: included 21 eyes treated by silicone intubation after lubricating the tube within MMC. All patients were followed up for at least 6 months. In group I, NLD remained open in 18 eyes [72%] 6 months after the procedure, repeated procedure was successful for 3 eyes [12%] of the remaining 7 eyes with recurrent obstruction during follow up time, an overall patency rate 84% with no complications during follow up. In group II, NLD remained open with surgical success rate in 20 eyes [95.2%] and over drainage of tears from nose was observed in one case. Patient satisfaction was assessed at the end of follow up period in two groups and proved that, watering was disappeared completely in 15 eyes [group I] and 14 eyes [group II], mild improvement in 6 eyes in each group and no improvement in 4 eyes [group I] and one eye [group-II]. Probing of NLD with low dose of MMC in adult epiphora is a simple, effective and minimally invasive technique. Use of low dose of MMC together with NLD intubation is advantageous and carries less risk in adults


Subject(s)
Humans , Male , Female , Nasolacrimal Duct/pathology , Mitomycin , Treatment Outcome
9.
Oman Medical Journal. 2001; 17 (3): 56-57
in English | IMEMR | ID: emr-57900

ABSTRACT

Congenital acute dacryocystitis is very rare, the swelling usually represents an infected dacryocele. An acute presentation of a congenital dacryocele which occurred in a one month old preterm infant is reported here


Subject(s)
Humans , Male , Lacrimal Apparatus/pathology , Nasolacrimal Duct/pathology , Acute Disease , /congenital
10.
Bahrain Medical Bulletin. 2000; 22 (1): 21-23
in English | IMEMR | ID: emr-53490

ABSTRACT

The treatment of congenital nasolacrimal duct obstruction [CNLDO] continues to be a subject of controversy. Some authors advocate early probing and irrigation, whereas others recommend delaying until the child is at least one year old. The focus of this study was to compare the result of conservative treatment for CNLDO with the results of probing and irrigation of CNLDO undertaken for children between the ages of 6 and 24 months. A total of 128 patients [182 nasolacrimal ducts] with CNLDO were enrolled in a prospective clinical study at Prince Hashem Hospital in Zarka. Initially, all patients were treated conservatively with local hydrostatic massage and topical antibiotic drops. The patients were divided into four age groups. The first group was infants with CNLDO observed for spontaneous resolution during the second half of the first year. The other three groups were between the ages of 6 and 24 months with a 6-month interval between each group. Patients of these three groups underwent probing under brief general anesthesia. 77.1 percent of the infants exhibited spontaneous opening of the CNLDO during the second half of the year. Initial probing undertaken on infants between the ages of 6 and 12 months has been associated with the opening of the lacrimal ducts in 94.1 percent of cases, whereas, using the same procedure for children between the ages of 12 and 18months, the success rate was found to be 79.6 percent. Only 55.9 percent of obstructed nasolacrimal ducts were patent after probing in children between the ages of 18 and 24 months. indicate that probing carried out on infants with CNLDO between 6 and 12 months significantly reduces epiphora compared with waiting for spontaneous resolution in infants with the same conditions. At the same time it gave significantly better results compared to probing undertaken on older age groups


Subject(s)
Humans , Nasolacrimal Duct/pathology , Nasolacrimal Duct/abnormalities , Nasolacrimal Duct/surgery , Lacrimal Apparatus Diseases , Lacrimal Duct Obstruction/surgery , Lacrimal Duct Obstruction/congenital
12.
Oman Medical Journal. 1998; 14 (3): 55-56
in English | IMEMR | ID: emr-49137

ABSTRACT

A transnasal endoscopic dacryocystorhinostomy was performed as a definitive treatment for a post-traumatic nasolacrimaI duct obstruction. This approach avoids external scarring and trauma to the medial canthal region which accompanies external dacryocystorhinostomy.A brief description of the procedure and review of relevant literature is presented


Subject(s)
Humans , Male , Lacrimal Duct Obstruction/surgery , Nasolacrimal Duct/pathology , Endoscopy
13.
Arq. bras. oftalmol ; 57(2): 118-21, abr. 1994.
Article in Portuguese | LILACS | ID: lil-134130

ABSTRACT

Cento e doze pacientes com idade entre 15 dias e 3 meses foram submetidos a exame oftalmológico para verificaçäo da ocorrência de obstruçäo sintomática do ducto nasolacrimal. Foram encontrados 3 caso, 2 unilaterais e 1 bilateral, correspondendo a 2,7 por cento


Subject(s)
Humans , Male , Female , Infant, Newborn , Nasolacrimal Duct/abnormalities , Lacrimal Duct Obstruction/epidemiology , Nasolacrimal Duct/injuries , Nasolacrimal Duct/pathology
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