Abstract
Canaliculitis is a rare disease of the lacrimal pathway, especially of the canaliculi. It is often not identified, therefore misdiagnosed and inadequately treated. It accounts 2 % of all lacrimal diseases. False diagnoses are usually conjunctivitis, blepharitis, dacryocystitis, hordeolum and chalazi...
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PMID: 20645230
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Abstract
A total of 12 female patients, age 34-83 years, were included in our study. Epiphora was a dominant symptom in all patients. In two patients deviation of nasal septum was found, and in other one conha bulosa at the same side as chronic dacryocystitis. All patients were subjected to endonasal dacryoc...
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PMID: 20629424
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Abstract
Roughly 70% to 80% of all mechanical stenoses of the lacrimal duct can be reopened during endoscopic surgery with the use of a laser or a miniaturized drill. CONCLUSION: With the methods described here, it is now possible for the first time to perform surgery that obviates the need for a bypass proc...
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PMID: 20436778
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Abstract
Postoperative complications of blepharoplasty range from cutaneous changes to vision-threatening emergencies. Some of these can be prevented with careful preoperative evaluation and surgical technique. When complications arise, their significance can be diminished by appropriate management. This art...
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PMID: 20195127
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Abstract
Tessier number 3 cleft is one of the most difficult and challenging malformations to correct for the reconstructive surgeon. Besides the difficulties of its treatment, patients with Tessier number 3 cleft may achieve good results when the team has good skills....
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PMID: 20186077
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Abstract
We report the case of a woman with a 4-month history of right epiphora and dacryocystitis. Nasal endoscopy revealed the presence of a tumor at the inferior meatus. Histopathologic examination of a biopsy specimen identified the tumor as an oncocytoma. Surgical excision via a lateral rhinotomy approa...
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PMID: 20229479
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Abstract
To describe a new surgical approach for secondary repair of canalicular lacerations using a full-thickness en bloc eyelid transplantation.
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PMID: 20090479
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Abstract
To evaluate current physician patterns for diagnostic lacrimal imaging in patients with epiphora related to lacrimal obstruction.
An invitation was sent to members of the American Society of Ophthalmic Plastic and Reconstruction Surgeons in September 2008 to participate in a short web-based question...
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PMID: 20489540
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Abstract
The authors successfully assessed the lacrimal systems of two patients with dacryocystocele based on dacryocystographic observations using computed tomographic scanning. The results showed that both the lacrimal sac and the nasolacrimal duct were largely distended, and the duct terminated in a close...
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PMID: 19645383
PDF is available here.
Abstract
Thalidomide is a very potent teratogen capable of causing severe systemic malformations if the fetus is exposed during the sensitive period. Although structural anomalies of the eye can occur from thalidomide exposure, the most frequent eye complication is secondary to damage to the cranial nuclei i...
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PMID: 19639653
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Abstract
All horses had facial swellings and radiographic findings consistent with exostosis at the lacrimomaxillary suture, and ipsilateral epiphora. Positive contrast dacryocystorhinography demonstrated that the site of obstruction of the nasolacrimal duct was located where the duct traverses the lacrimoma...
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PMID: 19649018
PDF is available here.
A Ri AR Cho,
Keum Jin KJ Yang,
Yoonsun Y Bae,
Young Yil YY Bahk,
Eunmin E Kim,
Hyungnam H Lee,
Jeong Ki JK Kim,
Wonsang W Park,
Hyanshuk H Rhim,
Soo Young SY Choi,
Tsuneo T Imanaka,
Sungdae S Moon,
Jongbok J Yoon and
Sungjoo Kim SK Yoon
Abstract
We show that human ALADIN is a protein with an apparent molecular weight of 60 kDa, and expressed in the adrenal gland, pituitary gland and pancreas. Furthermore, biochemical analysis using anti-ALADIN antibody supports the previous finding of the localization of ALADIN in the nuclear membrane. The...
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PMID: 19322026
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Abstract
Rhinosporidiosis is a chronic infection of the mucous membranes of the upper respiratory tract. The authors report a case of primary lacrimal sac rhinosporidiosis with a grossly dilated sac and nasolacrimal duct as seen on CT dacryocystography. Despite a chronic infection of 12 years' duration, ther...
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PMID: 19454941
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Abstract
Symptomatic epiphora is predominantly present in the elderly It is caused either by hypersecretion in ocular surface disorders, mostly as a reflex, by decreased tear transport and mechanical stenosis of the efferent tear ducts. These three different causes have to be taken into consideration by diff...
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PMID: 19280197
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Abstract
Ninety two of 123 patients (75%) completed the questionnaire, the mean age was 59 years and the sex ratio m:f was 1:1.8. The mean overall GBI for this intervention was + 32.7 (95% confidence intervals 27.8 - 37.6). The patients were grouped according to the indication for intervention: Obstruction o...
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PMID: 19382495
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Abstract
We report on the first Bosnian patient with triple A syndrome. Endocrine investigation confirmed primary adrenal insufficiency at the age of 5.8 years. Two months later, achalasia was diagnosed, and in the presence of alacrima, the patient satisfies the diagnostic criteria of triple A syndrome. In a...
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PMID: 18551317
PDF is available here.
Abstract
A dacryocystocele refers to a sterile cystic dilatation of the lacrimal sac resulting from a complete obstruction of the lacrimal pathway above and below the lacrimal sac. In most cases, it is a congenital disorder that typically occurs in neonates. It is characterized by a bluish cystic swelling ju...
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PMID: 19902856
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Abstract
In POAG patients with long-term treatment may have an ocular surface damage, that undesirable effect may lead to treatment discontinuation and reduced quality of their life. Preservative free formulations in patients who are sensitive to preservatives because of pre-existing or concomitant ocular co...
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PMID: 19697847
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Abstract
The aim of this study was to assess the clinical role of (18)F-FDG PET/CT for the evaluation of lymph node metastasis in periorbital malignancies, compared with CT alone.
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PMID: 19182496
PDF is available here.
Abstract
We present a case of sarcoidosis with involvement of the skin, lacrimal, parotid, and submandibular glands. The patient had been previously misdiagnosed as having angioedema and allergic contact dermatitis; he had the rare finding of panda sign on gallium scintigraphy....
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PMID: 19379652
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Abstract
Adnexal or orbital diseases were detected in 101 out of 3497 patients (2.88%). Medical treatment was advised to 13 of 101 patients (12.8%). Surgery was advised in 62 of 101 patients (61.28%) whereas 18 of 101 patients (17.8%) required further investigations at a tertiary center. CONCLUSION: It was f...
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PMID: 19700877
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Abstract
Primary localized amyloidosis of lacrimal gland is a rare occurrence. This report describes a female patient with isolated amyloidosis of the lacrimal gland. A 45-year-old Indian woman presented with a swelling over the left lacrimal gland region. Computed tomography showed uniform enlargement of th...
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PMID: 19861750
PDF is available here.
Abstract
The correct diagnosis is the condition for the proper planning of the therapy schedule. Epiphora is frequent and annoying symptom....
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PMID: 20169886
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Abstract
From March to November 2001, a case of eye's argyrosis was diagnosed based on clinical history, eye's biomicroscopy and histopathology. In the biomicroscopy exam, there were gray deposits of pigments in corneal stroma and conjunctiva. In the incisional biopsy of conjuctiva, lens, upper lacrimal cana...
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PMID: 20098911
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Abstract
Wegener's granulomatosis (WG) is a primary systemic vasculitis characterized by the development of granulomatous inflammation and necrotizing vasculitis of small- and middle-sized vessels. The clinical symptoms of the involvement of lacrimal organs in WG are of no specificity. Lacrimal tract lesion...
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PMID: 19824446
PDF is available here.
Abstract
Temporary tightening of the lower eyelid with micropore tape to mimic the effect of lateral tarsal strip surgery can identify those patients who may benefit from an eyelid-tightening procedure. Patients who did not benefit from eyelid taping can avoid potentially unnecessary eyelid surgery....
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PMID: 19454929
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Abstract
In the investigation of epiphora in patients with apparent outflow obstruction but patent lacrimal systems, both dacryocystography and scintigraphy are often abnormal. The authors' study shows that scintigraphy is the more sensitive test, correlating more closely with the clinical examination and of...
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PMID: 19454931
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Abstract
A 64-year-old white man presented with a plasma cell neoplasm in the right lacrimal sac. After successful surgical excision and radiation treatment, he developed a local adjacent recurrence, which again responded to radiation. He subsequently developed a distant plasma cell neoplasm in the humerus,...
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PMID: 19617795
PDF is available here.
Abstract
Canaliculocele is an extremely rare cause of a medial canthal mass. The authors report 2 cases in which painless medial canthal masses occurred. A 77-year-old man presented with a nontender, firm mass in the medial canthal area. This mass was located at the common canalicular level and was observed...
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PMID: 19454942
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Abstract
Primary placement of frosted Jones Pyrex tubes in patients undergoing conjunctivodacryocystorhinostomy seems to retain the efficacy of a standard Jones Pyrex tube while reducing the likelihood of tube extrusion, which is the main complication of this surgery....
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PMID: 19273922
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Abstract
A 53-year-old woman presented with mild right upper eyelid edema without erythema or tenderness. Postcontrast, fat-suppressed, T1-weighted MR images demonstrated a slightly enlarged, mildly enhancing right lacrimal gland, with an internal zone of hypointensity. Histopathologic examination showed sca...
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PMID: 19454950
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Abstract
Bilateral agenesis of the lacrimal puncta and enlargement of the nasolacrimal canal are rare anatomic variants. The authors present 2 familial cases: a 39-year-old woman with bilateral dacryocystocele and lacrimal puncta agenesis and her 46-year-old brother, who had a long history of epiphora and re...
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PMID: 19273928
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Abstract
Imaging in both cases revealed a normal sized lacrimal gland with a prominent orbital fat pocket behind this. This fat was excised through an upper-eyelid skin crease approach with temporary detachment of the levator muscle in one case, and through a trans-conjunctival incision in the other. In both...
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PMID: 19929678
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Abstract
We report on a patient requiring removal of his correctly working Lester-Jones tube to allow him to continue his hobby of scuba diving. This particular complication of the Lester-Jones tube has never previously been reported in the literature. Patients with Lester-Jones tubes are unable to perform t...
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PMID: 19929673
PDF is available here.
Abstract
Two very rare cases of Schwannoma arising within the lacrimal gland fossa are presented, the tumours causing complete atrophy of the normal orbital lobe of the lacrimal gland....
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PMID: 19929679
PDF is available here.
Abstract
Computed tomography (CT) and magnetic resonance imaging are the modalities of choice in the assessment of orbital neoplasms. Careful interpretation of the characteristic radiological features usually leads to the correct diagnosis; however, some of the lesions look very similar and are difficult to...
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PMID: 19002664
PDF is available here.
Abstract
Epiphora (continuous watering of the eyes) is frequently caused by obstruction of the lacrimal draining system. Radiographic imaging of the tear ducts after contrast injection with the DSA (digital subtraction angiography) dacryocystography technique is still the gold standard in patients with sever...
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PMID: 18806989
PDF is available here.
Abstract
A total of 80 stenotic lesions were detected including 19 (24%) canalicular, 26 (32%) saccal and 35 (44%) ductal stenoses. In 9 of the patients 3D rotational dacryocystography was used to differentiate between canalicular (n=4) and saccal (n=5) stenosis. Increased resistance during continuous inject...
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PMID: 18813900
PDF is available here.
Abstract
We report on a 14-year-old girl with slowly progressive axonal motor neuropathy with conspicuous muscle wasting of hypothenars and calves as well as alacrima. The mutation analysis of the AAAS gene revealed a compound heterozygous mutation: a c.251G>A mutation in exon 2 that had been reported previo...
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PMID: 18628786
PDF is available here.
Abstract
We treated this congenital anomaly with digital massage, and topical and systemic antibiotics. Probing under general anaesthesia was performed in the event of dacryocystitis or lack of resolution after a short trial period with digital massage. Particular attention was paid to nasal bilateral endosc...
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PMID: 19205594
PDF is available here.
Abstract
We present the case of a 3-day-old infant with bilateral intranasal lacrimal duct cysts causing nasal obstruction and intermittent respiratory compromise. The diagnosis was suspected on clinical examination and confirmed on MRI. The patient was successfully managed by bilateral endoscopic marsupiali...
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PMID: 18990457
PDF is available here.
Abstract
This is the largest reported consecutive case series of isolated punctoplasty surgery. Overall anatomical success was high and the surgical technique, grade of surgeon and choice of postoperative medication did not significantly alter the outcome. Without adequate preoperative assessment a significa...
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PMID: 18786958
PDF is available here.
Abstract
A 75-year-old patient with colorectal cancer was treated by FOLFOX4 therapy. When the total dose of 5-fluorouracil reached 21,200 mg and the total dose of oxaliplatin reached 880 mg after about 100 days of treatment, epiphora developed. Because the pharmacist discovered it soon, he could consult wit...
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PMID: 19011359
PDF is available here.
Abstract
Dry eye symptoms and watering eyes increase with age and are relatively common among older people. The conditions cause distress which can be ameliorated if patients are advised appropriately. Accurate diagnosis of the underlying cause provides the basis for management. This paper outlines key featu...
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PMID: 19057472
PDF is available here.