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 |
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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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