[Our experience with the complex treatment of phlegmon of the lacrimal sac]. / Nash opyt kompleksnogo lecheniia flegmony sleznogo meshka.

Eighty-nine patients with lacrimal sac phlegmons, 76 women and 13 men, aged 16 to 78, were administered multiple-modality treatment, consisting in Group 1 (43 patients) of traditional methods, such as UHF therapy, antibiotics, sulfonamides, symptomatic therapy, dacryocystorhinostomy after complete cessation of inflammation, and in group 2 (46 patients) including sessions of intermittent magnetic field (IMF) exposure, antibiotics, and early dacryocystorhinostomy. Sparing technique was used in all operations, carried out under local anesthesia with 2% procaine or trimecaine. IMF exposure was found to be an effective therapeutic means characterized by antiinflammatory, resolving, and analgesic effects. IMF sessions and early dacryocystorhinostomy enhance cessation of inflammation and improve the treatment efficacy: remote results of surgery were excellent in 80% of Group 1 patients and in 90.9% of Group 2 patients; As a results of IMF exposure, the terms of medical and social rehabilitation of patients with the lacrimal sac phlegmons were reduced twofold.

[Lacrimal sac hydrops: etiology, pathogenesis, clinical aspects, treatment]. / Gidrops sleznogo meshka: étiologiia, patogenez, klinicheskaia kartina, lechenie.

Thirty-three patients (35 observations) with lacrimal sac hydrops, aged 16 to 84, 31 females and 2 male ones, were examined and operated on. The condition was bilateral in 2 patients. The studies have revealed that lacrimal sac hydrops may develop in chronic dacryocystitis in various periods of this conditions, starting from 2-3 months up to 5-7 years. In 25 cases the condition developed because of lacrimal canaliculi orifice blocking, in 10 because of canalicular orifice obliteration. In 30 patients yellowish-white viscous stinking purulent discharge was found in the lacrimal sac closed cavity, in 5 mucous-serous fluid. Present-day surgical methods have proved to be highly effective in the management of hydrops. In 10 patients with canalicular orifice obliteration canaliculodacryocystorhinostomy was carried out with temporary silicone tube intubation of the canaliculus; remote results were completely successful in 8 patients and partially effective in 2. In the rest 25 cases dacryocystorhinostomy was carried out with completely effective remote results in all the patients.

[Anatomy of the lacrimal point and the vertical portion of the lacrimal canaliculus]. / Anatomiia sleznoi tochki i vertikal'noi chasti sleznogo kanal'tsa.

In order to define more accurately normal dimensions and form of the lacrimal point as well as peculiarities in the structure of the vertical part of the lacrimal canaliculus, 315 practically healthy persons (630 eyes) at the age of 18-60 years have been examined. The procedure has been performed by means of the slit lamp (shchl-1) . The lacrimal point has been found to have a round (36.1%) and an oval (63.9%) form. Transition of the lacrimal point into the vertical part of the lacrimal canaliculus in 83.5% of the observations is "fannel"-shaped with a maximal narrowing at the depth of 0.4-0.5 mm, and in 16.5%-- well"-shaped (without any narrowing). The normal diameter of the lacrimal point is 0.2-0.6 mm (the arithmetic mean-- 0.35 mm). When the diameter of the lacrimal point is less than 0.2 mm (at least in one of its sections), the lacrimation function correspondingly deteriorates, indices of the coloured nasolacrimal test become decreased or negative.