[Dacryocystorhinostomy for post-traumatic lacrimal stenosis. Study of 21 cases].
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
An overview of the dry eye syndrome and its medical and surgical management has been presented. It is apparent that any single treatment is generally ineffective and that a combination of therapeutic modalities is required for success. The Experimental Slow Release Artificial Tear Insert (Ocusert) shows the most promise for a future solution.
A retrospective study of 165 cases of dacryocystorhinostomy (DCR) has been performed in order to establish a relationship between the results and the delay between the initial symptoms and the DCR. The study compares the results obtained in 25 cases of DCR performed for post traumatic injury to those obtained in 165 cases of DCR performed for various etiologies (traumatic cases included). Traumatic cases are more frequent in men 19/ 25 cases (73%); infectious etiologies are more frequent in women 98/ 118 cases. The results are nearly the same for all the etiologies: 87% good results for the overall (147 cases), 88% good results for the traumatic cases (24 cases). The stenosis occurs within the first month in 72% and before the fourth month in all the cases. There is no difference in the results according to the surgical technique however the small number of each group does not allow a statistical analysis. The results are better when the delay between the initial traumatism or the first surgical repair and the DCR is more than six months (15 good results for 15 cases). The results were worse when the delay is less than 6 months (6 success for 9 cases), with p = 0.07 in the statistical analysis.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A rare case of primary amyloidosis of the lacrimal gland and orbit is described with correlate CT-scan findings. Differentiation of this lesion from other lacrimal gland masses is discussed.
The anatomy of the lacrimal excretory system provides a logical basis for evaluation of the physiological drainage of tears. A review of the methods for examining the lacrimal drainage passages with emphasis on the techniques of punctal dilation and diagnostic irrigation is presented.
Acute frontal sinusitis occurred in four patients who required removal of the anterior portion of the middle turbinate to provide adequate intranasal drainage during lacrimal surgery. Three patients with redness and swelling around the wound were initially thought to have wound infection, but localized tenderness to percussion of the frontal sinus and air fluid levels on x-rays indicated acute frontal sinusitis. Treatment with antibiotics and steroids gave relief. Use of unipolar electrocautery to excise the middle turbinate probably caused acute inflammation of the frontonasal duct. We recommend simple excision without electrocautery in those cases requiring removal of turbinate for successful lacrimal surgery.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Lacrimal gland duct cysts develop insidiously in the superotemporal cul de sac. They may be preceded by trauma, infection, or inflammation of the conjunctiva. They are often asymptomatic but may induce discomfort, a sensation of fullness, a visible mass, lid distortion or ectropion. Fluctuation in size with weeping or environmental stimuli is seen. Histopathology is variable. Six cases are described to demonstrate the features. Complete excision of each cyst by meticulous dissection through a conjunctival approach was performed. Total resection is the optimal technique to prevent recurrence.
Lacrimal sac palpation in the evaluation of the lacrimal excretory system, both before and during irrigation, is proposed to minimize the necessity for lacrimal excretory function tests.