Abstract | PURPOSE: To evaluate the frequency of acquired lacrimal sac fistula formation after incision and drainage for dacryocystitis and to determine associated risk factors. METHODS: National multicenter retrospective study of acquired lacrimal sac fistula formation in patients receiving incision and drainage during the course of treatment for dacryocystitis between January 2005 and December 2007. Data collection included patient demographics, past medical history, procedure technique, culture results, and details of the medical and surgical management. The formation of a persistent fistula was ascertained, in addition to the subsequent treatment of the dacryocystitis. RESULTS: CONCLUSIONS: Incision and drainage of the lacrimal sac can be an appropriate adjunctive treatment strategy for selected cases of dacryocystitis. Incision and drainage provides appropriate culture media, symptomatic pain relief, and can facilitate resolution. In this series, persistent lacrimal sac fistula formation after incision and drainage and associated medical and surgical treatment for dacryocystitis was rare.
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Authors | Rhonda V Barrett, Dale R Meyer, ASOPRS Acquired Lacrimal Fistula Study Group |
Journal | Ophthalmic plastic and reconstructive surgery
(Ophthalmic Plast Reconstr Surg)
2009 Nov-Dec
Vol. 25
Issue 6
Pg. 455-7
ISSN: 1537-2677 [Electronic] United States |
PMID | 19935248
(Publication Type: Case Reports, Journal Article, Multicenter Study)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Child
- Dacryocystitis
(microbiology, surgery)
- Dacryocystorhinostomy
- Drainage
- Eye Infections, Bacterial
(microbiology, surgery)
- Female
- Fistula
- Humans
- Lacrimal Apparatus Diseases
(etiology, surgery)
- Male
- Middle Aged
- Postoperative Complications
- Retrospective Studies
- Risk Factors
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