Avoiding dacryocystorhinostomy in cases of epiphora caused by inferior meatus obstruction.
Eye (Lond)
; 32(8): 1406-1410, 2018 08.
Article
in En
| MEDLINE
| ID: mdl-29773879
ABSTRACT
AIMS:
To determine the role of inferior meatus pathologies as an underdiagnosed cause of epiphora.METHODS:
This study was conducted in the oculoplastic institution of Tel Aviv medical center-a regional referral center. A retrospective review of files of patients presenting to the lacrimal clinic with nasolacrimal duct obstruction between October 2010 and September 2016. Cases in which a pathology of the inferior meatus was identified and treated are presented in this article.RESULTS:
During this time frame, we preformed 186 endoscopic dacryocystorhinostomy surgeries. Out of those, eight patients (4.3%) were diagnosed and treated for pathology causing an obstruction of the inferior meatus. Seven of our patients were females; the mean age was 24 years. A wide range of pathologies were found cysts, dacryoliths, membranes obstructing the inferior meatus, and concheal obstruction. All patients went through endoscopic treatment targeted at the cause of obstruction. During follow-up (average 35 months) only two patients remained symptomatic and were referred for an endonasal endoscopic dacryocystorhinostomy.CONCLUSIONS:
Inferior meatus obstruction is an underdiagnosed cause of epiphora. Multiple pathologies may co-exist in the same patient. In select cases of NLDO, diagnosis and treatment can be done endoscopically, avoiding the need for dacryocystorhinostomy.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Dacryocystorhinostomy
/
Nasal Obstruction
/
Lacrimal Apparatus Diseases
/
Nasolacrimal Duct
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Eye (Lond)
Journal subject:
OFTALMOLOGIA
Year:
2018
Document type:
Article
Affiliation country: