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Lacrimal drainage surgery in Wegener's granulomatosis
Aim:
To examine the results of open lacrimal surgery in patients with Wegener's granulomatosis.
Methods:
A retrospective review of patients with Wegener's granulomatosis who underwent lacrimal surgery over a 17 year period.
Results:
11 patients were identified and a total of 14 primary dacryocystorhinostomies (DCR) and one revisional DCR were performed; symptomatic relief was achieved in 13/14 operations and one patient required revisional surgery for persistent symptoms. There were no intraoperative and few postoperative complications.
Conclusions:
In contrast with some previous reports, open DCR appears to be a safe procedure and it is recommended as a treatment for lacrimal obstruction in patients with Wegener's granulomatosis, but an increase of perioperative immunosuppression is recommended in certain cases.