Journal of the Korean Ophthalmological Society 2006;47(5):690-695.
Published online May 31, 2006.
The Clinical Effect of Endonasal Dacryocystorhinostomy in the Treatment of Acute Dacryocystitis.
Seong Kyu Im, Dok Jae Kim, Mei Hua Wu, Sang Ki Jeong, Kyung Chul Yoon
1Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. kcyoon@chonnam.ac.kr
2Best Eye Clinic, Gwangju, Korea.
급성 눈물주머니염 치료에 있어 코경유 눈물주머니코안연결술의 임상적 효과
임성규1,김덕재1,오미화1,정상기2,윤경철1
Department of Ophthalmology, Chonnam National University Medical School1, Gwangju, Korea Best Eye Clinic2, Gwangju, Korea
Correspondence:  Seong Kyu Im, M.D.1
Abstract
PURPOSE
To evaluate the clinical effect of endonasal dacryocystorhinostomy as a primary treatment of acute dacryocystitis with lacrimal sac abscess formation. METHODS: The study comprised 14 patients with acute dacryocystitis and lacrimal sac abscess formation who underwent endonasal dacryocystorhinostomy as a primary treatment. Postoperative evaluations included symptoms of acute dacryocystitis, physical examination, and lacrimal irrigation. Success was defined as the absence of epiphora and good lacrimal irrigation at the last follow-up. RESULTS Of the patients, two were male and twelve were female. The mean age was 54.7 years and mean follow-up period was 8.3 months. Resolution of symptoms and signs of acute dacryocystitis occurred in all patients. In one patient, recurrence of acute dacryocystitis occurred 6 months after surgery. At last follow-up, epiphora and failure of lacrimal irrigation had developed in two patients. CONCLUSIONS: Endonasal dacryocystorhinostomy is considered a safe and effective primary treatment of acute dacryocystitis with lacrimal sac abscess formation.
Key Words: Acute dacryocystitis;Endonasal dacryocystorhinostomy


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