Assessment and management of proximal and incomplete symptomatic obstruction of the lacrimal drainage system

Kashkouli, Mohsen Bahmani; Pakdel, Farzad; Kiavash, Victoria

doi:10.4103/0974-9233.92117

Cited by 47 publications

(25 citation statements)

References 72 publications

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“…The number finally increased to 112 articles after adding the pertinent references of the initial articles. Included articles for this review were 3 case reports, 14 , 15 , 16 1 discussion, 17 1 book chapter, 18 1 guideline, 19 26 review articles, 2 , 3 , 4 , 5 , 6 , 10 , 13 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 30 observational studies, 1 , 7 , 8 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 36 retrospective case series, 9 , 13 , 66 , 67 , 68 , 69 , 70 , …”

Section: Resultsmentioning

confidence: 99%

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Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Kashkouli

Abdolalizadeh

Abolfathzadeh

et al. 2017

Journal of Current Ophthalmology

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PurposeSince different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement.MethodsEnglish literature review was performed using PubMed with the different keywords of “periorbital rejuvenation”, “blepharoptosis”, “eyebrow ptosis”, “blepharoplasty”, “eyelid examination”, “facial assessment”, and “lifting”. Initial screening was performed by the senior author to include the most pertinent articles. The full text of the selected articles was reviewed, and some articles were added based upon the references of the initial articles. Included articles were then reviewed with special attention to the preoperative assessment of the periorbital facial rejuvenation procedures.ResultsThere were 254 articles in the initial screening from which 84 articles were found to be mostly related to the topic of this review. The number finally increased to 112 articles after adding the pertinent references of the initial articles.ConclusionStatic and dynamic aging changes of the periorbital area should be assessed as an eyelid-eyebrow unit paying more attention to the anthropometric landmarks. Assessing the facial asymmetry, performing comprehensive and detailed ocular examination, and asking about patients' expectation are three key elements in this regard. Furthermore, taking standard facial pictures, obtaining special consent form, and finally getting feedback are also indispensable tools toward a better outcome.

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Section: Resultsmentioning

confidence: 99%

“…Dye disappearance test (DDT), regurgitation test, and irrigation of the lacrimal system may be performed to assess the lacrimal drainage system. 34 Facial paralysis should also be considered in patients with asymmetric face who complain of tearing. 73 A Hertel exophthalmometer can be used to measure eye prominence preoperatively.…”

Section: Resultsmentioning

confidence: 99%

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Kashkouli

Abdolalizadeh

Abolfathzadeh

et al. 2017

Journal of Current Ophthalmology

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“…Surgical skills can mimic the rate of failure. 5 Early diagnosed cases showed higher achievement rate and low level of complication especially if the there is such past relevant surgical Qazi AM et al Int J Res Med Sci. 2019 Oct;7 (10): [3730][3731][3732][3733][3734] International Journal of Research in Medical Sciences | October 2019 | Vol 7 | Issue 10 Page 3731 history.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of intubation techniques in nasolacrimal duct blockage in adult age group: a comparative study based on Sindh, Pakistan population

et al. 2019

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Background: Nasolacrimal duct obstruction is listed under the heading of congenital diseases; on other hand it is also commonly present in adult age group. In population of Sindh we found these patients frequently. Through this study we revealed the surgical options for the treatment of Nasolacrimal duct obstruction in population of Sindh provenience of Pakistan. The objective of the study was to compare the outcomes of two different intubation techniques in treatment of Nasolacrimal duct obstruction between two age groups. Comparative study was conducted in the Department of Ophthalmology Al-Ibrahim Eye Hospital Karachi from May 2018 to June 2019.Methods: Total 136 numbers of patients were included on the bases of history, clinical examination and pre-operative syringing test. Non- probability convenient sampling was applied for data collection. Total 136 numbers of patients were divided into two groups on the bases of treatment and further subgroup on the bases of age ranges. Data were analyzed by SPSS version 20.0.Results: Frequency and percentage of recovery in six months in each subgroup with application of chi-square test. Frequency and percentage of post-operative complications prolong treatment and regurgitation and patency of tube in each group and subgroups.Conclusions: The results showed significant difference between the groups. Group A showed higher success rate with minimal percentage of complications and post-operative measurements in both age ranges as compare to Group B.

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“…Lacrimal drainage system consists of upper and lower lacrimal puncta, lacrimal canaliculi, common canaliculus, lacrimal sac and nasolacrimal duct, which drains tear fluid from the ocular surface into the nose (reviewed in 16 ). Tear drainage system is extremely important for the maintenance of ocular surface health.…”

Section: Introductionmentioning

confidence: 99%

Lacrimal Duct Occlusion Is Associated with Infectious Keratitis

Guo

Liu

et al. 2016

Int. J. Med. Sci.

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Background: To explore the prevalence of lacrimal duct obstruction in patients with infectious keratitis, and the necessity of lacrimal duct dredge in the treatment of human infectious keratitis.Methodology/Principle Findings: The design is prospective, non-control case series. Thirty-one eyes from twenty-eight continuous patients with infectious keratitis were included in this study. The presence/absence of lacrimal duct obstruction was determined by the lacrimal duct irrigation test. The diagnosis of infectious keratitis was made based on clinical manifestations, cornea scraping microscopic examination and bacterial/fungus culture. Diagnosis of viral keratitis was set up based on the recurrent history, deep neovascularization and typical outlook of the cornea scar. The treatment of keratitis included drugs, eye drops or surgery, while treatment of chronic dacryocystitis was lacrimal duct dredging with supporting tube implantation surgery. In the thirty-one eyes with infectious keratitis, fifteen suffered from fungal keratitis (48%), two bacterial keratitis (6%), and fourteen viral keratitis (45%). Eleven eyes (35%) from ten patients with infectious keratitis also suffered from lacrimal duct obstruction. In those cases, six eyes also suffered from lower canalicular obstruction, three nasolacrimal duct obstruction and chronic dacryocystitis, one a combination of upper and lower canalicular obstruction, one upper canalicular obstruction. After local and systemic applications of anti-bacterial, anti-viral, anti-fungal and anti-inflammatory drugs, twenty-eight eyes (90%) recovered within three weeks, while the ulceration of three patients required the lacrimal duct dredging and supporting tube implantation surgery for the healing.Conclusions: Herein, we first report that the prevalence of infectious keratitis is closely correlated to the occurrence of lacrimal duct obstruction. When both confirmed, simultaneous treatment of keratitis and lacrimal duct obstruction promptly is required. Further evaluation of mechanism, prevention and control of the diseases are warranted.

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Assessment and management of proximal and incomplete symptomatic obstruction of the lacrimal drainage system

Cited by 47 publications

References 72 publications

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Periorbital facial rejuvenation; applied anatomy and pre-operative assessment

Outcomes of intubation techniques in nasolacrimal duct blockage in adult age group: a comparative study based on Sindh, Pakistan population

Lacrimal Duct Occlusion Is Associated with Infectious Keratitis

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