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Dorsum Surgery
Published in Suleyman Tas, Rhinoplasty in Practice, 2022
If the nasolacrimal duct is damaged, or if there was already an underlying nasolacrimal duct problem exaggerated by rhinoplasty, silicone tube intubation is primarily made. This procedure is sufficient in most patients and successful results are obtained, but it may rarely be necessary to perform a dacryocystorhinostomy.
Watery Eyes
Published in Amy-lee Shirodkar, Gwyn Samuel Williams, Bushra Thajudeen, Practical Emergency Ophthalmology Handbook, 2019
Follow up will depend on the cause of the watery eye. If in doubt, discuss the patient with the oculoplastic team in the presence of a healthy cornea. If you suspect a nasolacrimal duct obstruction, refer to a lacrimal clinic for syringing and probing. Patients with resolving dacryocystitis need to be followed up in outpatient oculoplastic clinics for consideration of dacryocystorhinostomy (DCR). Eyelid malposition, causing corneal exposure or trauma require urgent oculoplastic review for surgical correction.
Lacrimal system and dry eyes
Published in Mostafa Khalil, Omar Kouli, The Duke Elder Exam of Ophthalmology, 2019
Omar Kouli, Mostafa Khalil, Stewart Gillan
Chronic Epiphora and recurrent unilateral conjunctivitis.Treat with dacryocystorhinostomy.
In vivo analysis of endocanalicular light pipe transillumination in endoscopic dacryocystorhinostomy: Anatomic considerations and cautions for the transitioning
Published in Orbit, 2022
Nina S. Boal, Elizabeth A.Z. Cretara, Benjamin S. Bleier, Allen C. Lam, Daniel R. Lefebvre
Dacryocystorhinostomy is used to relieve blockage of the distal lacrimal outflow tract by creating a new pathway between the lacrimal sac and the nasal cavity. Though endoscopic approaches were described more than a century ago by Caldwell1 and Mosher,2 the external transcutaneous approach described by Toti3 remained the surgical technique of choice over the years due to difficulties with visualization of the surgical site and effective removal of mucosa and bone endonasally. With advances in surgical instrumentation, such as the paranasal sinus endoscope and dedicated endosinus instrument sets, as well as delicate high-speed drills enabling removal of thicker bone, more surgeons have turned to endoscopic dacryocystorhinostomy (endo-DCR) in recent times for both primary surgeries and revision of failed cases.4–7
Lacrimal drainage system involvement in Peters anomaly: clinical features and outcomes
Published in Orbit, 2021
Nandini Bothra, Abhimanyu Sharma, Mohammad Javed Ali
The study adhered to the Declaration of Helsinki and was approved by the Institutional Ethics Committee. A retrospective chart review was performed of all consecutive patients who were known cases of Peters anomaly or Peters plus anomaly and were diagnosed with associated congenital lacrimal drainage disorders. The study period was from June 2016 to Dec 2020. Of the 282 patients with Peters anomaly, 4 (1.4%) patients had associated lacrimal drainage system anomalies while of the 16 Peters plus anomaly children, 3 (18.75%) had associated lacrimal drainage system anomalies. All these patients underwent examination under anaesthesia for a detailed assessment of lacrimal drainage anomalies. All the lacrimal anomalies could be assessed clinically with the help of nasal endoscopy and did not require additional radiological investigations. Where indicated, they were treated with probing, intubation, or in refractory patients with a dacryocystorhinostomy. The anatomical and functional outcomes were assessed. The anatomical success was defined as patent lacrimal drainage system on irrigation and functional success was defined as resolution of epiphora, normal tear meniscus height, and fluorescein dye disappearance test.
Endoscopic and radiological evidence refuting intra-abscess septae
Published in Orbit, 2023
Nandini Bothra, Pragya Saini, Mohammad Javed Ali
Institutional review board and Ethics committee approval of L.V. Prasad Eye Institute was obtained. The study was conducted in accordance with the Declaration of Helsinki. Prospective, interventional pilot study was performed on eight lacrimal sac abscesses of eight patients at a tertiary care Dacryology service, over a period of three months. Four of the patients underwent aspiration and four had traditional incision, intra-abscess endoscopy and subsequent drainage. All the patients were subjected to pre-operative orbital magnetic resonance imaging (MRI) using surface coils. Following the aspiration or incision and drainage, a definitive surgery in the form of endoscopic dacryocystorhinostomy was performed immediately once the patient was fit for surgery.