Skip to main content Accessibility help
×
Home
Hostname: page-component-559fc8cf4f-8sgpw Total loading time: 0.295 Render date: 2021-03-08T07:15:47.511Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": false, "newCiteModal": false, "newCitedByModal": true }

Endoscopic dacryocystorhinostomy in functional lacrimal obstruction

Published online by Cambridge University Press:  27 November 2007

C Brewis
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, UK
M Yung
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, UK
C Merkonidis
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, UK
S Hardman-Lea
Affiliation:
Department of Ophthalmology, Ipswich Hospital NHS Trust, UK
Corresponding
Get access

Abstract

Introduction:

We performed endoscopic dacryocystorhinostomy in cases diagnosed with both anatomical and functional lacrimal obstruction, and here report results for the latter cases.

Methods:

Sixty-eight endoscopic dacryocystorhinostomies were performed for functional obstruction on 44 patients. The indication for surgery was epiphora in 66 patients and recurrent dacryocystitis in two. The minimum follow up was six months.

Results:

There was complete cure in 44 (65 per cent) patients, partial cure in nine (13 per cent) and no improvement in 15 (22 per cent). Revision surgery was performed in five of the 15 cases with no improvement, after which there was an overall complete cure in 47 patients (69 per cent), partial cure in 10 (15 per cent) and no improvement in 11 (16 per cent).

Discussion:

Endoscopic dacryocystorhinostomy is indicated in cases of epiphora with a diagnosis of functional lacrimal obstruction. Currently available investigations cannot reliably distinguish partial anatomical obstruction from pump failure.

Type
Main Article
Copyright
Copyright © JLO (1984) Limited 2007

Access options

Get access to the full version of this content by using one of the access options below.

References

1 Paulsen, F. The human nasolacrimal ducts. Adv Anat Embryol Cell Biol 2003;170:1106CrossRefGoogle ScholarPubMed
2 Rosenstock, T, Hurwitz, JJ. Functional obstruction of the lacrimal drainage passages. Can J Ophthalmol 1982;17:249–55Google ScholarPubMed
3 Cuthbertson, FM, Webber, S. Assessment of functional nasolacrimal obstruction – a survey of ophthalmologists in the southwest. Eye 2004;18:20–3CrossRefGoogle ScholarPubMed
4 Sprekelsen, MB, Barberan, MT. Endoscopic dacryocystorhinostomy: surgical technique and results. Laryngoscope 1996;106:187–9CrossRefGoogle ScholarPubMed
5 Yung, MW, Hardman-Lea, S. Endoscopic inferior dacryocystorhinostomy. Clin Otolaryngol 1998;23:152–7CrossRefGoogle ScholarPubMed
6 Conway, ST. Evaluation and management of ‘functional’ nasolacrimal blockage: results of a survey of the American Society of Ophthalmic Plastic and Reconstructive Surgery. Ophthal Plast Reconstr Surg 1994;10:185–7CrossRefGoogle ScholarPubMed
7 O'Donnell, B, Shah, R. Dacrocystorhinostomy for epiphora in the presence of a patent lacrimal system. Clin Exp Ophthalmol 2001;29:27–9CrossRefGoogle Scholar
8 Sahlin, S, Rose, GE. Lacrimal drainage capacity and symptomatic improvement after dacrocystorhinostomy in adults presenting with patent lacrimal drainage systems. Orbit 2001;20:173–9CrossRefGoogle Scholar
9 Delaney, YM, Khooshabeh, R. External dacrocystorhinostomy for the treatment of acquired partial nasolacrimal obstruction in adults. Br J Ophthalmol 2002;86:533–5CrossRefGoogle Scholar
10 Moore, WMH, Bentley, CR, Olver, J. Functional and anatomic results following two types of endoscopic endonasal dacrocystorhinostomy: surgical and Holmium laser. Ophthalmology 2002;109:1575–82CrossRefGoogle Scholar
11 Wormald, PJ, Tsirbas, A. Investigation and endoscopic treatment for functional and anatomical obstruction of the nasolacrimal duct system. Clin Otolaryngol 2004;29:352–6CrossRefGoogle ScholarPubMed
12 Yung, MW, Hardman-Lea, S. Analysis of the results of surgical endoscopic dacryocystorhinostomy: effect of the level of obstruction. Br J Ophthalmol 2002;86:792–4CrossRefGoogle ScholarPubMed
13 Smith, MG, Kong, AS, Yung, MW, Hardman-Lea, S, Leary, G. Lacrimal fossa block: an audit of a minimally invasive regional anaesthetic technique for endoscopic dacryocystorhinostomy (DCR). Clin Otolaryngol 2001;26:407–10CrossRefGoogle Scholar
14 The Royal College of Ophthalmologists. Quality Development Programme; Guidance for Clinical Governance in Ophthalmology. Royal College of Ophthalmologists, 1999, Available at: http://www.tripdatabase.com/spider.html?itemid=277743Google Scholar
15 Merkonidis, CM, Brewis, C, Yung, MW, Nussbaumer, M. Is routine biopsy of the lacrimal sac wall indicated at dacryocystorhinostomy? A prospective study and literature review. Br J Ophthalmol 2005;89:1589–91CrossRefGoogle ScholarPubMed

Full text views

Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.

Total number of HTML views: 3
Total number of PDF views: 20 *
View data table for this chart

* Views captured on Cambridge Core between September 2016 - 8th March 2021. This data will be updated every 24 hours.

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Endoscopic dacryocystorhinostomy in functional lacrimal obstruction
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Endoscopic dacryocystorhinostomy in functional lacrimal obstruction
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Endoscopic dacryocystorhinostomy in functional lacrimal obstruction
Available formats
×
×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *