Why Dacryocystectomy is done?
Conclusions: DCT is mainly performed when a lacrimal sac tumor is suspected but, since it avoids the intra- and postoperative complications related to dacryocystorhinostomy, it can be indicated in cases of dacryocystitis with significant lacrimal discharge and an enlarged or altered lacrimal sac.
What is a Dacryocystectomy?
Dacryocystectomy is a well-established oculo plastics procedure that refers to a complete surgical extirpation of the lacrimal sac. It was first described by Woolhouse in 1724 and was the standard of care before the advent of dacryocystorhinostomy for management of dacryocystitis and lacrimal fistulas.
Why is dacryocystorhinostomy performed?
Why might I need a dacryocystorhinostomy (DCR)? The procedure is done to relieve the symptoms of a blocked tear duct. These include excessive eye watering or crusting around your eye.
What is the difference between DCT and DCR?
The main indication for dacryocystectomy (DCT) is excision of lacrimal sac tumors. DCT may be considered less invasive than dacryocystorhinostomy (DCR) because lacrimal bone and nasal mucosa are not violated.
How long does a Dacryocystorhinostomy take?
What is a dacryocystorhinostomy (DCR)? A DCR is a type of surgery that is used to treat blocked tear ducts in adults. It creates a new passageway between the tear duct sac and the nose, bypassing the blockage and allowing tears to drain normally again. The operation usually takes about 1 hour.
How successful is Dacryocystorhinostomy surgery?
The success rate in patients without previous lacrimal duct surgery was 88.5% compared to 74.3% for patients with previous lacrimal duct surgery….3. Results.
| Success rates | |
|---|---|
| Patients without previous episodes of dacryocystitis | 83.4 |
| DCR as primary procedure | 88.5 |
| DCR after any form of initial lacrimal surgery | 74.3 |
What is nasolacrimal duct obstruction?
Blocked Tear Duct (Nasolacrimal Duct Obstruction) A blocked tear duct occurs when your nasal passageways cannot properly drain tear liquid from your eyes. You may have itchy, irritated or watery eyes. Sometimes, babies are born with blocked tear ducts. A clogged tear duct may heal on its own, or you may need surgery.
When do you do DCR?
Indications for DCR surgery: Secondary acquired NLDO, such as due to prior midfacial trauma, chronic nasal or sinus inflammation, nasal surgery, neoplasms, dacryoliths. Functional obstruction of outflow, due to lacrimal pump weakness or after facial nerve palsy. Congenital NLDO after failed prior probing or intubation.
What causes inflammation of the lacrimal gland?
Lacrimal Gland swelling may be acute or chronic. Acute swelling is caused by a bacterial or viral infection such as mumps, Epstein-Barr virus, gonococcus and staphylococcus. Chronic swelling could be due to non-infectious inflammatory disorders such as thyroid eye disorder, sarcoidosis and orbital pseudotumor.
What is the most common infection of the lacrimal gland?
Etiology. Dacryoadenitis may be the result of infectious or inflammatory causes 3. Acute infection of the lacrimal gland results in diffuse homogeneous enlargement, which can sometimes compress the globe. Most common organisms are Staphylococcus aureus, mumps, infectious mononucleosis, and influenza virus.
How many patients have dacryocystitis confirmed by DCT?
Nine patients had chronic dacryocystitis confirmed by dacryocystography and two patients had lacrimal sac tumors. Results: The indications for DCT were: three patients with systemic medical problems, three patients with dry eye, two cases of lacrimal sac tumors, two cases of traumatic dacryocystitis and one case of cutaneous leishmaniasis.
When did dacryocystectomy become the standard of care?
Dacryocystectomy is a well-established oculo plastics procedure that refers to a complete surgical extirpation of the lacrimal sac. It was first described by Woolhouse in 1724 and was the standard of care before the advent of dacryocystorhinostomy for management of dacryocystitis and lacrimal fistulas.
Are there any cases of dacryocystitis without epiphora?
Dacryocystitis was resolved in 17 of 18 eyes; the two cases of tumor evolved without epiphora. One patient (traumatic dacryocystitis) had recurrence of dacryocystitis.