J Korean Ophthalmol Soc.  2006 May;47(5):690-695.

The Clinical Effect of Endonasal Dacryocystorhinostomy in the Treatment of Acute Dacryocystitis

• Im SK
• Kim DJ
• Wu MH
• Jeong SK
• Yoon KC

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.

Keyword

Acute dacryocystitis; Endonasal dacryocystorhinostomy

MeSH Terms

Abscess
Dacryocystitis*
Dacryocystorhinostomy*
Female
Follow-Up Studies
Humans
Lacrimal Apparatus Diseases
Male
Physical Examination
Recurrence