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Postherpetic lacrimal obstruction.

C J McLean1, G E Rose

  • 1Moorfields Eye Hospital, London, England.

Ophthalmology
|March 11, 2000
PubMed
Summary
This summary is machine-generated.

Surgical management of postherpetic lacrimal obstruction using dacryocystorhinostomy (DCR) or Lester Jones tubes effectively resolves epiphora. Procedures utilizing remaining canaliculi, like DCR with intubation, are justified alongside Lester Jones tubes for successful outcomes.

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Area of Science:

  • Ophthalmology
  • Oculoplastic Surgery
  • Lacrimal System Disorders

Background:

  • Postherpetic lacrimal obstruction is a complication of herpes simplex blepharoconjunctivitis.
  • This condition impairs lacrimal drainage, leading to persistent symptoms.
  • Surgical intervention is often necessary for effective management.

Purpose of the Study:

  • To review the surgical management strategies for postherpetic lacrimal obstruction.
  • To evaluate the efficacy of different surgical procedures in resolving epiphora.

Main Methods:

  • Retrospective case series of 160 patients with postherpetic lacrimal obstruction.
  • Surgical interventions included dacryocystorhinostomy (DCR) with intubation and Lester Jones tube placement.
  • Analysis of primary and secondary surgical procedures and outcomes.

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Main Results:

  • Open lacrimal surgery was performed on 158 patients (171 eyes).
  • Dacryocystorhinostomy (DCR) with intubation and Lester Jones tube placement were the most common primary procedures.
  • Good or complete reduction of epiphora was achieved in 98% of treated eyes (171/173).

Conclusions:

  • Surgical management, including DCR with intubation and Lester Jones tubes, is highly effective for postherpetic lacrimal obstruction.
  • Procedures that utilize remaining canalicular structures, such as DCR with intubation, are justified.
  • Both DCR with intubation and Lester Jones tubes are viable options for restoring lacrimal drainage.