Clinicopathological Study of Lacrimal Sac Dacryolith in Patients Treated for Nasolacrimal Duct Obstruction

Choi, Seung Woo; Park, Jong Seo; Kwon, Ah-Young; Lee, Sang Min

doi:10.3341/jkos.2016.57.1.6

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…In the study, dacryolith was found in seven eyes during the operation and all had complete response. We believe that the presence of dacryolith can be a predictive factor for successful dacryoendoscopy-guided STI and our result is in accordance with previous studies [ 25 , 26 ]. Choi et al [ 26 ] reported a success rate of 91.8% in eyes with dacryolith as compared to 80.5% in nondacryolith group and explained that a dacryolith is related to acute or subacute inflammation rather than chronic inflammation or fibrosis.…”

Section: Discussionsupporting

confidence: 93%

Long-term Efficacy of Dacryoendoscopy-guided Recanalization and Silicone Tube Intubation

Kim

Beak

Paik

et al. 2022

Korean J Ophthalmol

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Purpose: To investigate the long-term efficacy of dacryoendoscopy-guided recanalization and silicone tube intubation in patients with obstruction in the lacrimal drainage system and to identify factors related to surgical outcome. Methods:We retrospectively reviewed the medical records of patients with primary nasolacrimal duct obstruction and canalicular obstruction who underwent dacryoendoscopy-guided recanalization and silicone tube intubation between August 2014 and March 2016. Factors related to surgical outcome were examined and compared between the success group (eyes with complete response and partial response) and the failure group. Kaplan-Meier survival analysis and multivariable logistic regression analysis were used to analyze the success rate according to the factors found to have statistical significance. Results:The study included 74 eyes of 51 patients. The mean age of the patients was 60.3 ± 10.0 years (range: 34-80 years). The success group consisted of 66 eyes (89.2%) (complete response: 56 eyes (75.7%) and partial response: 10 eyes (13.5%)) and the failure group consisted of 8 eyes (10.8%). The median follow-up period was 58 months (range: 6.5-72 months), and the overall success rate was 89.2%. Compared to the eyes with preoperative lacrimal irrigation test of partial passage, the eyes with no passage were associated with a lower success rate (95.9% vs. 76.0%, P = 0.01). Postoperative inflammation was also associated with a lower success rate (96.6% vs. 60.0%, P < 0.001). Conclusion:Dacryoendoscopy-guided recanalization and silicone tube intubation is effective and can be considered a first-choice of treatment for eyes which show partial passage in the lacrimal irrigation test. The management of postoperative inflammation is essential to ensure surgical success.

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Section: Discussionsupporting

confidence: 93%

Long-term Efficacy of Dacryoendoscopy-guided Recanalization and Silicone Tube Intubation

Kim

Beak

Paik

et al. 2022

Korean J Ophthalmol

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“…Compared to the eyes with preoperative irrigation test of partial passage, the eyes with no passage were associated with a lower success rate [ 61 ]. Postoperative inflammation was also associated with a lower success rate and the age could be an important factor of the occurrence of inflammation [ 61 ], while dacryolith could be a predictive factor for successful DE-guided SI [ 62 ].…”

Section: Resultsmentioning

confidence: 99%

Clinical Implication of Dacryoendoscopy in the Patients with Tearing: A Systematic Review

Kim¹,

Park²,

Lew³

2023

Korean J Ophthalmol

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Purpose: A systematic review of the literature on diagnostic and therapeutic indications, techniques, and complications of dacryoendoscopy (DE) was performed. Methods: The authors performed a PubMed search of articles published in English on DE. Data was collected and classified according to the categories of the disease. And the clinical outcomes and limitations were particularly analyzed.Results: The lacrimal drainage system from the canaliculus to the inferior meatus could be examined based on the specific anatomical features by DE. The canalicular mucosa is smooth and brightly colored, the lacrimal sac shows covering mucosa with good vascularization and the nasolacrimal duct is lined with bright tubular mucosal folds. DE allows direct visualization of the detailed internal condition of the lacrimal disorders, to directly diagnose the site of obstruction with accuracy and address the causes and recanalize the lacrimal drainage system using assisted micro lacrimal surgical instruments in the tearing patients. Conclusions: Better visualization of the lacrimal canal with DE improves the understanding of physiology and precise identification of the obstructing lesions, both of which are the key to a comprehensive management for the tearing patients.

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Dacryolith after a Le Fort I fracture: case report

Yun

Kim

et al. 2020

International Journal of Oral and Maxillofacial Surgery

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Clinicopathological Study of Lacrimal Sac Dacryolith in Patients Treated for Nasolacrimal Duct Obstruction

Cited by 4 publications

References 21 publications

Long-term Efficacy of Dacryoendoscopy-guided Recanalization and Silicone Tube Intubation

Long-term Efficacy of Dacryoendoscopy-guided Recanalization and Silicone Tube Intubation

Clinical Implication of Dacryoendoscopy in the Patients with Tearing: A Systematic Review

Dacryolith after a Le Fort I fracture: case report

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