Lacrymal Sac Research Articles

A Neonate with Acute Dacryocystitis

Acute dacryocystitis in neonates is an emergency condition that should be taken seriousely [1]. We report a case of a 25-day-old male newborn with inflammatory swelling of the inner canthus of the left eye. The ophtalmological examination revealed unilateral lacrimal sac abscess with compression of the lacrymal sac (Figure 1). Orbital CT scan confirmed the presence of abscess, with mild preseptal cellulitis (Figure 2), no signes of ethmoidal sinusitis were showen. The newborn was hospitalized and intravenous C3G antibiotherapy was started. Over the next day, we noticed an external fistula formation. General and local antibiotic therapy was continued for a short time, with a gentle massage of the lacrimal sac [2]. The evolution was marked by a progressive regression of the swelling as showed, and no recurrence of the condition was diagnosed in the follow up (Figure 1). This case is a reminder for our clinical practice to think of the presence of a potentiel dacryocyctocele in every acute dacryocystitis in neonates.

Efficiency of lachrymal sac drainage in newborns with dacryocystocele.

The article represents results of treatment of 14 newborns with unilateral dacryocystocele. Patients age was 7.2±0.5 days. In 9 newborns (64.3%) dacryocystocele was complicated with lachrymal sac phlegmon ; in 5 children (35.7%) any complications were absent. Drainage of lachrymal sac through the lower lachrymal canaliculus, instillation of antibiotics, systemic antibiotic therapy in case of phlegmon were performed in all the children. Lachrymal sac washing was performed with a solution of the antibiotic ofloxacin till clear fluid evacuation. If necessary the drainage was repeated in 10 days. The drainage of lachrymal sac was successful in all the patients. 2-3 weeks after the drainage probing of nasolachrymal duct was perfomed in 4 children (28.6%) including those 3 with lacrymal sac phlegmon . In 71.4% regression of dacryocystocele occurred itself. Any complications and side effects were not observed. Positive effect of the drainage, according to the authors, can be explained so that dilatation of lachrymal canaliculus before the procedure allows to eliminate Rosenmuller valve stenosis and evacuation of fluid, mucus and pus , being breeding ground for microorganisms from lachrymal sac , promotes inflammation subsiding. Authors also recommend to pay attention on prenatal diagnosis of dacryocystocele , using ultrasound investigation in the 3rd trimester of pregnancy.

涙嚢鼻腔吻合術の検討

We reviewed 11 patients (7 women and 4 men) with acquired dacryostenosis who underwent a dacryo-cysto-rhinostomy (DCR) at Saiseikai Utsunomiya Hospital between May 2000 and April 2004. The etiology was considered chronic inflammation in six, trauma in two and complications of paranasal sinus surgery in two. In addition to lacrymal probing and irrigation, we investigated all patients by anterior rhinoscopy and CT. One patient showed pneumatization in the lacrymal sac on CT and dacryoatresia was confirmed with irrigation. We diagnosed the common canaliculi as the site of atresia, and this was confirmed intraoperatively. We treated 7 cases by traditional extenal DCR (EXT-DCR) and 4 by endonasal endoscopic DCR (EE-DCR). We treated one case of relapsed obstruction with EE-DCR but treated well with the same method. The EXT-DCR cases have not show any recurrence to date. There were two cases of stenosis at the common canaliculi and both were improved after EE-DCR with silicone tube insertion. With EE-DCR, the duration of surgery was shorter and there was no scar formation or facial deformity. We suggest that ENT doctors should pay more attention to diseases of the naso-lacrymal system and cooperate with ophthalmologist when designing treatment regimens.

La dacryo-cysto-rhinostomie par voie externe

The dacryo-cysto-rhinostomy via the external approach is indicated for obstruction of the lacrymal duct. It consists in the creation of short-circuit between the lacrymal sac and the external nasal wall. The operation stages starts by paracanthal incision, the subperiosteal dissection stops anteriorly to the posterior insertion of the medial canthal ligament (to preserve lacrymal function). An ostectomy is performed between the maxillary bone and the unguis. A stomy is created by individualizing two mucosal flaps. The bicanaliculonasal intubation is systematic and maintained for 10 to 12 weeks.

Microchirurgie des sténoses canaliculaires

The microsurgical treatment of canalicular stenosis is indicated in localized stenosis. The goal is to restore lacrymal mucosa continuity in order to re-establish spontaneous lacrymal drainage. Stenosis located close to the puncti can be reached by the direct approach, those close to the lacrymal sac require an approach via the common canaliculus. The surgical indications and techniques are developed, with particular attention given to common canaliculus repair and the new surgical approach to reach it.

A rare case of rhinoscleroma

Rhinoscleroma is progressive granulomatous disease commencing in nose and eventually extending into the nasopharynx, oropharynx and sometimes lacrymal sac trachea and bronchi. This is a rare case of Rhinoscleroma presenting with complete nasal obstruction, and dysphagia. The lesion was involving the nose, palate, upper jaw, and lacrymal sac.

Maligne Non-Hodgkin-Lymphome an Lid, Orbita und Tr�nensack

Two personal observations on malignant non-Hodgkin lymphomas of the eye are presented, i.e., a lymphoplasmocytoid lymphoma (so-called immunocytoma) of the lid and orbita and a case of mixed centroblastic-centrocytic lymphoma of the lacrymal sac. The different histological findings are demonstrated. According to the lymphoma-classification by Lennert (Kiel), both the tumours belong to the group with a low degree of malignancy. No general synptoms could be found in the afflicted patients.

Das Geruchsorgan des TiefseefischesAphanopus carbo (Percomorphi, Trichiuridae)

The paper deals with the structure of the olfactory organ, its accessory parts and the forebrain in the deep-sea fishAphanopus carbo. On each side of the head only one opening leads to the olfactory chamber. The olfactory folds are arranged in a rosette-like pattern, resembling the 360°-type. Secondary folds on the main folds may serve as an enlargement of the surface of the olfactory epithelium. Most of the surface area of the olfactory folds is covered by the olfactory epithelium, indicating that the receptive area is of optimal extension. The histological structure of the olfactory epithelium is similar to that in other teleost species. The number of olfactory receptors amounts to about 5×106 to 107 for the single organ. Numerous secretory cells of unknown function are located within the olfactory epithelium. The olfactory chamber is enlarged by three accessory sacs: Two ethmoidal sacs and one lacrymal sac (consisting of two parts). These sacs serve as ventilation aparatus which causes a permanent water current within the olfactory chamber and between the olfactory folds. The action of the accessory sacs is induced by the splanchnokinetic. The forebrain ofAphanopus carbo is well developed; its size ranges between that of forebrains in microsmatic and macrosmatic teleost species. A detailed investigation of the forebrain is in preparation. The diagnosis of the different parts of the olfactory apparatus ofAphanopus carbo demonstrates clearly that — in addition to the eye — this sense organ is well developed (relative to that in other teleosts). This fact suggests thatAphanopus carbo is related to a group of teleost species characterized by optical and olfactory orientation mechanisms of high performance.

Polyps of the Lacrymal Sac

Both benign and malignant tumors of the lacrymal sac are not common, and so far only 117 cases have been reported in the literature (Duke-Elder, 1952). 1 In this series only 26 nonspecific granulomas are included. Since that time some other benign tumors have been published, 2-8 but their number is limited. In our country, where, because of the climate, chronic dacryocystitis is frequent enough, we rarely meet polyps of the tear sac. This paper deals with 3 cases of polyps of the tear sac which present many similarities both in their macroscopic and in their microscopic picture and in their etiology. It is this last which I intend to discuss particularly in this study. The first 2 cases have already been presented at the Hellenic Ophthalmological Society 6,7 during the meetings of Feb. 21 and March 28, 1957; the third one has not been published. Report of Cases Case

STUDIES ON RHINOLOGICAL APPLICATION AND PROGRESS IN CASE OF DACRYOCYSTORHINOSTOMY

In refernce to chronic dacryocystitis, when a daryocystectomy is performed, for a long time afterward the patient suffers form persistent watering of the eyes. First, to planed this complate cure of dacryocystitis and to avoid its unhappy effects, in a number of improved cases we performed Toti's madified dacryocystorhinostomy, which posits a new tear duct between the lacrymal sac and the nasalcavity, and we made public the fact that our results were qiute felicitous.However, for this operation, one should first consult an ophthalmologist to determine the Application of this operation, then an otologist to decide whether an operation can be done, or to consider pre-operations Treatment (including Rhinolcgical pre-operrtion).If this procedure is followed, a higher percentage of complete cure can be expected by performing, this operation.However, if it is a question of Parasinustis chronica or severe deviatio septi nesi, it is preferred that the surgeors treat (or operation) for these maladies first before performing this toti's operation.Once done Toti's operation, all fallowing treadment must be performed from the inside of the nasal cavity, If the preparation for the operation is through, and the operation itself performed with. skill, the patient should enjoy a complete cure of the malady with in two weeks.For three years we have performed this operation and carefully observed the patients who have undergone the operation, and in every case the results have been most successfull. Opetations-window, which posits at the Ager uasi should 1 or 2 years after a molphological chang. regarding to the Function of pumping which has lacrymal sac.

ON ARGYROSIS AND CONCRETION IN THE LACRYMAL SAC

Acta OphthalmologicaVolume 21, Issue 4 p. 247-259 ON ARGYROSIS AND CONCRETION IN THE LACRYMAL SAC Herman Grönvall M.D., Herman Grönvall M.D. Kristianstad.Search for more papers by this author Herman Grönvall M.D., Herman Grönvall M.D. Kristianstad.Search for more papers by this author First published: December 1943 https://doi.org/10.1111/j.1755-3768.1943.tb07435.xCitations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume21, Issue4December 1943Pages 247-259 RelatedInformation

Traumatic Internal Rupture of the Lacrymal Sac, Demonstrated by Lipiodol Injection and X Ray Examination

Traumatic Internal Rupture of the Lacrymal Sac, Demonstrated by Lipiodol Injection and X Ray Examination

癩患者に併發せる涙嚢膿漏並に其の細菌學的所見に就いて

In the Kyushu Leper House in which 730 cases of leprosy are taken, the author found 6 cases of dacryocystitis chronica within three months from November 1932 to January 1933, and came to the following conclusions in the result of clinical observation and cultivation of bacilli in the pus:1) In lepers dacryocystitis chronica frequently is observed after stenosis of the lacrymonasal duct, which is caused by leprous inflammation of pituitary mucous membrane. Especially often it is seen in the lepra tuberosa which has the worse morbid change of the pituitary mucous membrane.2) It is often found only on one side, especially on the left eye.3) Some of them accompanied with trachoma, but there seems to be no important relation between them as in healthy persons.4) Case, in which lagophthalmos and dacryocystitis chronica are accompanied, has a previous history of corneal suppuration. As lagophthalmos is very frequent in lepers, corneal suppuration should be carefully prevented in cases of leprous dacryocystitis.5) In cases of dacryocystitis chronica pneumococcus (100%), staphylococcus and streptococcus pyogenes are found in a higher percentage than in healthy persons.6) No leprous bacillus is found in the pus of the lacrymal sac. According to existtence of leprous dacryocystitis the author will mention after histological studies.

A Case of Erysipelas of the Lacrymal SAC

A Case of Erysipelas of the Lacrymal SAC

Operative Treatment of the Lacrymal Sac

Operative Treatment of the Lacrymal Sac

Treatment of Fistula of the Lacrymal Sac by Electrolysis

Treatment of Fistula of the Lacrymal Sac by Electrolysis