J Korean Ophthalmol Soc.  2008 Nov;49(11):1717-1722.

Clinical Usefulness of Laser Cystectomy

• Lee TS
• Kim JW

Abstract

PURPOSE
To evaluate the usefulness of laser cystectomy for the treatment of patients with dacryocystitis and sump syndrome.
METHODS
Thirteen patients (13 eyes) diagnosed with acute or chronic dacryocystitis, and nine patients (9 eyes) who developed sump syndrome after dacryocystorhinostomy from 2005 to 2006 underwent laser cystectomy and endonasal dacryocystorhinostomy.
RESULTS
Pain and swelling around the orbit improved immediately after the operation in patients with acute dacryocystitis, and all symptoms of sump syndrome disappeared by 1 month postoperatively. Epiphora reduced in all patients. During the follow-up period, functional nasolacrimal duct obstruction occurred in one eye and membranous obstruction developed in two eyes. In these two eyes with membranous obstruction, revisional surgery was performed successfully. No recurrence of dacryocystitis was noticed.
CONCLUSIONS
Laser cystectomy with endonasal dacryocystorhinostomy is a simple and effective treatment modality for patients with dacryocystitis and sump syndrome that minimizes the risk of recurrence.

Keyword

Dacryocystitis; Laser cystectomy; Sump syndrome

MeSH Terms

Cystectomy
Dacryocystitis
Dacryocystorhinostomy
Eye
Follow-Up Studies
Humans
Lacrimal Apparatus Diseases
Nasolacrimal Duct
Orbit
Postcholecystectomy Syndrome
Recurrence

Figure

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  Figure 1. Delayed view of dacryocystography demonstrates contrast overflowing into the nose after filling the residual lacrimal sac (white arrow).

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  Figure 2 . Schematic illustration of laser cystectomy. (A) Nd:YAG laser probe is introduced through the lower punctum and lower canaliculus to evaporate epithelium of the lacrimal sac. (B) Final appearance of the laser cystectomy. Note the complete removal of the lacrimal sac.

Reference

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