Home > Archive>Volume 17, Issue 9, 2024 >1628-1632. DOI:10.18240/ijo.2024.09.08
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Treatment of acute dacryocystitis by translacrimal canalicular drainage and D-silicone intubation
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Corresponding Author:

Jin Jiang. Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China. jjzryk@163.com

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Supported by Natural Science Foundation of Zhejiang Province (No.LQ18E020002); Traditional Chinese Medicine of Zhejiang Provincial Scientific Research Foundation (No.2020ZA005).

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    Abstract:

    AIM: To demonstrate the outcomes of translacrimal canalicular drainage using a lacrimal probe and intranasal drainage by D-silicone intubation for acute dacryocystitis (AD). METHODS: This retrospective study included 23 patients with AD and had undergone abscess decompression with the use of lacrimal probe and intranasal drainage by D-silicone intubation between January 2019 and December 2022. Patients received abscess decompression and systemic antibiotic-corticosteroid from the time of diagnosis. D-silicone tube was inserted within 10d after diagnosis and removed 3-6mo after intubation. The procedure and outcomes of this method were evaluated. RESULTS: All patients showed improvement of signs and symptoms of AD within 72h. No intraoperative and postoperative complications were observed. No recurrence of lacrimal sac abscesses occurred after D-silicone tube removed. CONCLUSION: Lacrimal probe and D-silicone intubation appear to be a feasible, minimally invasive, safe, and effective method, which could be a reasonable choice in the treatment of AD.

    Reference
    1 Hoffmann J, Lipsett S. Acute dacryocystitis. N Engl J Med 2018;379(5):474.
    2 Khatoon J, Rizvi SAR, Gupta Y, Alam MS. A prospective study on epidemiology of dacryocystitis at a tertiary eye care center in Northern India. Oman J Ophthalmol 2021;14(3):169-172.
    3 Mills DM, Bodman MG, Meyer DR, Morton AD 3rd, ASOPRS Dacryocystitis Study Group. The microbiologic spectrum of dacryocystitis: a national study of acute versus chronic infection. Ophthalmic Plast Reconstr Surg 2007;23(4):302-306.
    4 Alaboudi A, Al-Shaikh O, Fatani D, Alsuhaibani AH. Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. Orbit 2021;40(1):18-23.
    5 Lowry EA, Kalin-Hajdu E, Kersten RC, Vagefi MR. Acute vision loss from dacryocystitis. JAMA Ophthalmol 2018;136(10):1207-1208.
    6 Maheshwari R, Maheshwari S, Shah T. Acute dacryocystitis causing orbital cellulitis and abscess. Orbit 2009;28(2-3):196-199.
    7 Mekni M, Sayadi J, Choura R, Fekih A, Gouider D, Rouatbi A, Zghal I, Malek I, Chebbi A, Nacef L. Orbital cellulitis: diagnostic, therapeutic and prognostic approach in a reference center in Tunis, Tunisia (a retrospective study of 109 cases). Pan Afr Med J 2022;43:64
    8 Bothra N, Agarwal K, Ali MJ. Panophthalmitis and visual loss as a complication of acute dacryocystitis. Ophthalmic Plast Reconstr Surg 2020;36(6):e156-e158.
    9 Alsalamah AK, Alkatan HM, Al-Faky YH. Acute dacryocystitis complicated by orbital cellulitis and loss of vision: a case report and review of the literature. Int J Surg Case Rep 2018;50:130-134.
    10 Cahill KV, Burns JA. Management of acute dacryocystitis in adults. Ophthalmic Plast Reconstr Surg 1993;9(1):38-41; discussion 42.
    11 Chong KK, Abdulla HAA, Ali MJ. An update on endoscopic mechanical and powered dacryocystorhinostomy in acute dacryocystitis and lacrimal abscess. Ann Anat 2020;227:151408.
    12 Li J, Wang J, Sun C. Early endonasal dacryocystorhinostomy for acute dacryocystitis: a systematic review and meta-analysis. Am J Rhinol Allergy 2024;38(3):185-191.
    13 Lombardi D, Mattavelli D, Accorona R, Turano R, Semeraro F, Bozzola A, Nicolai P. Acute dacryocystitis with empyema of the lacrimal sac: is immediate endoscopic dacryocystorhinostomy justified? Otolaryngol Head Neck Surg 2014;150(6):1071-1077.
    14 Morgan S, Austin M, Whittet H. The treatment of acute dacryocystitis using laser assisted endonasal dacryocystorhinostomy. Br J Ophthalmol 2004;88(1):139-141.
    15 Wu WC, Yan WT, MacCallum JK, Tu YH, Jiang AC, Yang Y, Xiao TL, Li J, Wang QM, Qu J. Primary treatment of acute dacryocystitis by endoscopic dacryocystorhinostomy with silicone intubation guided by a soft probe. Ophthalmology 2009;116(1):116-122.
    16 Yu B, Xia Y, Sun JY, Ye Q, Tu YH, Zhou GM, Wu WC. Surgical outcomes in acute dacryocystitis patients undergoing endonasal endoscopic dacryocystorhinostomy with or without silicone tube intubation. Int J Ophthalmol 2021;14(6):844-848.
    17 Goel R, Sagar C, Gupta SN, Shah S, Agarwal A, Golhait P, Kumar S, Akash R. Outcome of transcanalicular laser dacryocystorhinostomy with endonasal augmentation in acute versus post-acute dacryocystitis. Eye (Lond) 2023;37(6):1225-1230.
    18 He JJ, Gong JW, Zheng QQ, Jiang J. Repositioning of the severe prolapsed silicone tubes after bicanalicular nasal intubation: a novel technique. J Ophthalmol 2021;2021:6669717.
    19 Luo B, Li M, Xiang N, Hu WK, Liu R, Yan XQ. The microbiologic spectrum of dacryocystitis. BMC Ophthalmol 2021;21:29.
    20 Kalin-Hajdu E, Cadet N, Boulos PR. Controversies of the lacrimal system. Surv Ophthalmol 2016;61(3):309-313.
    21 Yu B, Tu Y, Zhou G, Hong H, Wu W. Immediate endoscopic dacryocystorhinostomy in patients with new onset acute dacryocystitis. Laryngoscope 2022;132(2):278-283.
    22 Sung JY, Kim JM, Hwang JY, Kim KN, Kim J, Lee SB. Optimal timing for primary early endoscopic dacryocystorhinostomy in acute dacryocystitis. J Clin Med 2021;10(10):2161.
    23 Pakdel F, Soleimani M, Kasaei A, Ameli K, Pirmarzdashti N, Tari AS, Ghasempour M, Banafsheafshan A. Shifting to very early endoscopic DCR in acute suppurative dacryocystitis. Eye (Lond) 2020;34:1648-1653.
    24 Bian Y, Han XM, Li ST, Yu B. The effects of silicone tube intubation during endoscopic dacryocystorhinostomy in patients with acute dacryocystitis with acquired skin fistulization. J Craniofacial Surg 2023;35(2):e150-e154.
    25 Madge SN, Chan W, Malhotra R, Ghabrial R, Floreani S, Wormald PJ, Tsirbas A, Selva D. Endoscopic dacryocystorhinostomy in acute dacryocystitis: a multicenter case series. Orbit 2011;30(1):1-6.
    26 Boulos PR, Rubin PA. A lacrimal sac abscess incision and drainage technique. Arch Ophthalmol 2008;126(9):1297-1300.
    27 Gupta A, Saini P, Bothra N, Ali MJ. Acute dacryocystitis: changing practice pattern over the last three decades at a tertiary care setup. Graefes Arch Clin Exp Ophthalmol 2024;262(4):1289-1293.
    28 Barrett RV, Meyer DR. Acquired lacrimal sac fistula after incision and drainage for dacryocystitis: a multicenter study. Ophthalmic Plast Reconstr Surg 2009;25(6):455-457.
    29 Lin L, Yang L, Jin XM, Zhao YY, Fan FL. Management lacrimal sac abscesses using lacrimal probe and Crawford silicon tube. BMC Ophthalmol 2016;16(1):211.
    30 Wu WJ, Li ZW, Yan D, Lin Y, Xu N. Treatment of acute purulent dacryocystitis by early bicanalicular silicone intubation: safety, efficacy, and outcomes. Semin Ophthalmol 2017;32(5):607-613.
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Jin-Jing He, Jing-Wen Gong, Jia-Ni Zhou,/et al.Treatment of acute dacryocystitis by translacrimal canalicular drainage and D-silicone intubation. Int J Ophthalmol, 2024,17(9):1628-1632

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Publication History
  • Received:August 05,2023
  • Revised:April 12,2024
  • Online: August 20,2024
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