2,580 results match your criteria: "Dacryocystitis"

Late onset paediatric dacryoadenitis associated with SARS-CoV-2 confirmed by histological analysis.

BMJ Case Rep

December 2024

Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan.

We report a case of chronic dacryoadenitis associated with SARS-CoV-2, confirmed by histological analysis. A previously healthy school-aged boy was admitted to the paediatric department with a 1 month history of both eyebrow swelling and very mild pain in the upper parts of both eyelids. Gadolinium-enhanced T1-weighted MRI revealed enlargement of both lacrimal glands.

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Disruptions in lacrimal function can lead to various conditions, including chronic nasolacrimal duct obstruction and dacryocystitis, which may cause symptoms like excessive tearing, pain, and recurrent infections. In cases where pharmacological treatments are insufficient, surgical intervention becomes essential, which is widely used to restore effective tear drainage. This study evaluated postoperative outcomes of laser-assisted dacryocystorhinostomy (LDCR) in 48 patients, totaling 56 treated eyes, over a follow-up period of 6 months to 3.

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Chronic dacryocystitis (CD) can result in severe complications and vision impairment due to ongoing microbial infections and persistent tearing. Tear fluid, which contains essential components vital for maintaining ocular surface health, has been investigated for its potential in the noninvasive identification of ocular biomarkers through metabolomics analysis. In this study, we employed UHPLC-MS/MS to analyze the tear metabolome of CD patients.

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Orbital Cellulitis Secondary to Dacryocystitis: A Case Series and Literature Review.

Ophthalmic Plast Reconstr Surg

December 2024

Orbital, Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.

Article Synopsis
  • This study focused on identifying risk factors and management outcomes for patients with orbital cellulitis stemming from dacryocystitis, analyzing a group of 18 patients.
  • The majority of patients (56% female, mean age 62) experienced reduced visual acuity, but most showed improvement after treatment, with acute intervention helping in resolving acute cellulitis.
  • Key findings suggested that recurrent dacryocystitis and the presence of dacryoliths are significant risk factors, while immunosuppression worsens prognosis; successful long-term resolution typically requires dacryocystorhinostomy.
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Introduction: Congenital dacryocystoceles are a rare condition caused by nasolacrimal duct obstruction. Symptoms include epiphora, nasal obstruction, and swelling in the medial canthus. Treatment usually entails probing Hasner's valve open and, if necessary, intubating the nasolacrimal duct.

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To analyze the correlation between nasal mucosal microbiota diversity and the pathogenesis and prognosis of chronic sinusitis. A total of 80 patients with chronic sinusitis(CRS) admitted to Second Affiliated Hospital of Suzhou University were selected as the research group, and 80 patients with chronic dacryocystitis and nasal septum deviation without sinus inflammation admitted to our hospital during the same period were selected as the control group, nasal secretory specimens were collected under nasal endoscopic guidance by nasal swab, and matrix-assisted laser desorption ionization classification time mass spectrometry, anaerobic bacterial culture and common bacterial culture were performed to compare the differences in nasal mucosal flora between groups. Patients with chronic sinusitis were followed up for 6 months, and nasal secretions were collected again to detect microflora, and the patients were divided into relapse group(21 cases) and non-recurrence group(59 cases) according to whether the patients had relapse.

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We report a case of IgG4-related dacryoadenitis and sialadenitis (Mikulicz's disease) with acquired hemophilia A (AHA) in a pediatric patient. An 11-year-old female presented with intermittent swelling of the bilateral upper eyelids and neck areas. Clinical examination revealed bilateral swollen upper eyelids with palpable mass lesions in the lacrimal fossa.

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Article Synopsis
  • Dacryocystorhinostomy (DCR) is a surgery performed on patients with chronic dacryocystitis to relieve blocked tears, and this study aimed to link postoperative success to the level of inflammation in biopsies.
  • Twenty-five patients underwent DCR, and their biopsy results were graded for inflammation, showing that severe inflammation was present in a majority of cases.
  • Despite high inflammation scores (CIS), the DCR was successful in 96% of patients after six months, indicating that inflammation levels may not significantly affect surgical outcomes, warranting further research for confirmation.
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Poorly differentiated sebaceous carcinoma of the lacrimal sac in a young adult: A case report.

SAGE Open Med Case Rep

November 2024

Department of Orbit and Oculoplasty, Sadguru Netra Chikitsalaya, Chitrakoot, Uttar Pradesh, India.

Lacrimal sac and nasolacrimal duct tumors are extremely rare, and most of them are malignant tumors, which are often misdiagnosed as chronic dacryocystitis. We herein report a rare case of a 29-year-old female, presented with a history of watering in the right eye associated with a rapidly progressive mass for 4 months near the medial canthus. Further clinical examination revealed firm, non-tender mass occupying the lacrimal sac fossa extending above the medial canthus.

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Background/objectives: Epiphora, or excessive tearing, is a common symptom often attributed to benign conditions such as dry eye or nasolacrimal duct obstruction. However, it can also be an early indicator of lacrimal sac tumors, which are frequently misdiagnosed or diagnosed late due to their subtle presentation. This study aims to identify the clinical features that contribute to delays and misdiagnoses of lacrimal sac tumors in patients presenting with epiphora, with the goal of improving early detection and treatment outcomes.

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[Lacrimal duct infections].

J Fr Ophtalmol

December 2024

Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.

In addition to being a drainage system, the lacrimal ducts actively defend the eye through the action of the lacrimal pump, the presence of resident flora (lacriome) and the mucosa-associated immune tissue. Infection occurs when mucosal immune functions are overwhelmed. Lacrimal infection is a vicious circle, in which infection leads to inflammation and post-inflammatory sequelae, themselves a source of occlusion and stagnation, which in turn encourages infection.

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Article Synopsis
  • A case study of a 52-year-old man showed he developed right ocular myositis and dacryocystitis, treated successfully with intravenous acyclovir and oral steroids; literature review of 29 patients shows a median age of 61 and a female predominance.
  • Effective treatment typically involves intravenous antiviral therapy within 72 hours and may include systemic corticosteroids, with a full resolution of symptoms achieved in about 51.7% of patients.
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A rare case of infantile acute polymicrobial dacryocystitis due to Serratia marcescens, Haemophilus aphrophilus, and Prevotellaintermedia.

J AAPOS

December 2024

McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Department of Ophthalmology and Visual Science, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas. Electronic address:

Article Synopsis
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Chronic dacryocystitis due to .

Orbit

October 2024

Viterbi Family Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, La Jolla, California, USA.

Article Synopsis
  • - Dacryocystitis is an infection and inflammation of the lacrimal sac, typically caused by common bacteria like Staphylococcus and Streptococcus, but this report focuses on a rare case due to an atypical pathogen.
  • - A 62-year-old woman experienced pain, tenderness, and discharge from the left side of her face, leading to imaging that confirmed dacryocystitis, which required surgical intervention.
  • - Post-surgery, she was treated with multiple antibiotics, showing slow progress, highlighting the importance of culturing abscesses intraoperatively due to potential antibiotic resistance in atypical infections.
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An Unusual Case of Dacryocystitis After Dacryocystectomy: Is It Still Possible to Perform a Dacryocystorhinostomy?

J Maxillofac Oral Surg

October 2024

Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, Italy.

Article Synopsis
  • A patient experienced a relapse of both dacryocystitis and maxillary sinusitis after undergoing a previous dacryocystectomy.
  • The medical team opted for an external dacryocystorhinostomy to address the scar tissue and leftover lacrimal sac tissue.
  • This procedure was combined with endoscopic sinus surgery (ESS) to effectively alleviate the patient's symptoms.
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Endoscopic Dacryocystorhinostomy: A Comprehensive Review of Surgical Techniques and Clinical Outcomes.

Indian J Otolaryngol Head Neck Surg

October 2024

Department of ENT, Head and Neck surgery, JSS Medical College, JSS Academy of Higher education and Research (JSSAHER), Mysuru, 570004 Karnataka India.

Article Synopsis
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