Document Detail

Lacrimal drainage capacity and symptomatic improvement after dacryocystorhinostomy in adults presenting with patent lacrimal drainage systems.
MedLine Citation:
PMID:  12045909     Owner:  NLM     Status:  Publisher    
AIM. To determine the rate of symptomatic improvement after dacryocystorhinostomy (DCR) in patients with epiphora and insignificant obstruction to preoperative lacrimal syringing, and to measure the conductance of the postoperative lacrimal drainage anastomosis. METHODS. Retrospective cohort study of patients with symptomatic epiphora and patent tear ducts, with at least two-year follow-up after DCR. Patients underwent structured telephone interview together with clinical examination for lacrimal drainage capacity using the saline drop test.(1) RESULTS. Thirty-seven of 383 adult patients having had DCR were noted to have patent tear ducts at preoperative examination. Ten patients with previous surgery were excluded and two other patients were excluded because of other factors contributory to epiphora. Of the remaining 25 patients, 22 (aged 35-75 years at surgery; median 56 years) underwent a structured telephone interview: Of the 13 (60%) who felt that symptoms had improved, 9 (41%) were relieved of indoor epiphora and 11 (50%) thought the procedure was an overall success. Seventeen patients underwent clinical examination. The lacrimal drainage anastomosis was patent in all patients and the saline drop test result was well within the normal range in 3/4 patients who had persistent indoor epiphora. CONCLUSION. Of patients with epiphora due to minor nasolacrimal duct stenosis, open DCR produces a marked improvement or cure of symptoms in 50%. The lacrimal drainage capacity was well within the normal range in 3/4 patients with persistent postoperative lacrimal symptoms, suggesting that other factors (such as hypersecretion) may be significant in this group of patients with 'functional block'.
Sven Sahlin; Geoffrey E. Rose
Related Documents :
9457029 - Outcome after laparoscopic cholecystectomy for chronic acalculous cholecystitis.
18186679 - Percutaneous nephrolithotomy of patients with staghorn stone and incidental purulent fl...
3547719 - The importance of early diagnosis of acute acalculus cholecystitis.
1531439 - Ultrasonographic and radiologic evaluation of patients after laparoscopic cholecystectomy.
15610459 - Relation of hepatolithiasis to helminthic infestation.
8580939 - Endoscopic management of total ureteral occlusion and ureterovaginal fistula.
25443089 - Clinical characteristics and long-term outcomes of moyamoya syndrome associated with ne...
1600349 - Endocrine abnormalities in mitochondrial myopathy with external ophthalmoplegia.
12228159 - Mortality in patients with rheumatoid arthritis treated actively from the time of diagn...
Publication Detail:
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  20     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2002-Jun-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  -    
Other Details:
Languages:  ENG     Pagination:  173-179     Citation Subset:  -    
Moorfields Eye Hospital, London, EC1V 2PD, England, U.K.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The pathogenesis and treatment of lacrimal obstruction: The value of lacrimal sac and bone analysis.
Next Document:  The use of the fluorescein disappearance test in the management of childhood epiphora.