Endoscopic Endonasal Dacryocystorhinostomy Combined with Canaliculus Repair for the Management of Dacryocystitis with Canalicular ObstructionReport as inadecuate




Endoscopic Endonasal Dacryocystorhinostomy Combined with Canaliculus Repair for the Management of Dacryocystitis with Canalicular Obstruction - Download this document for free, or read online. Document in PDF available to download.

Journal of Ophthalmology - Volume 2015 2015, Article ID 657909, 7 pages -

Clinical Study

Eye Hospital at Wenzhou, Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang 325027, China

Eye Hospital at Hangzhou, Wenzhou Medical University, 618 East Fengqi Road, Hangzhou, Zhejiang 310020, China

Received 1 February 2015; Revised 19 March 2015; Accepted 20 March 2015

Academic Editor: Michel E. Farah

Copyright © 2015 Yunhai Tu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The aim of this study is to propose a simple and efficient combination surgery for the management of dacryocystitis with canalicular obstruction. Methods. A retrospective noncomparative case series of dacryocystitis with canalicular obstruction has been studied. Twelve patients with dacryocystitis and canalicular obstruction underwent a conventional endoscopic endonasal dacryocystorhinostomy EE-DCR combined with a modified canalicular repair. Postoperative observations included slit lamp, fluorescein dye disappearance test, lacrimal syringing, lacrimal endoscopy, and nasal endoscopy. Results. After 6–18 months of postoperative follow-up, the symptoms of epiphora and mucopurulent discharge disappeared completely in 10 patients, and occasional or intermittent epiphora remained in 2 patients. All of the twelve patients showed an opened intranasal ostium and normal fluorescein dye disappearance test. Patent bicanalicular irrigation was achieved in 9 patients. One patient had a partial and the other two had a complete reobstruction by lacrimal irrigation to their repaired lower canaliculus; however, all of them had a patent lacrimal irrigation to upper canaliculus. The functional success rate for the combination surgery is 83% 10-12, and anatomical success rate is 75% 9-12. Conclusion. EE-DCR combined with modified canalicular repair is a simple and efficient method for the management of dacryocystitis with canalicular obstruction.





Author: Yunhai Tu, Zhenbin Qian, Jiao Zhang, Wencan Wu, and Tianlin Xiao

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents