[Lacrimal sac hydrops: etiology, pathogenesis, clinical aspects, treatment]

Thirty-three patients (35 observations) with lacrimal sac hydrops, aged 16 to 84, 31 females and 2 male ones, were examined and operated on. The condition was bilateral in 2 patients. The studies have revealed that lacrimal sac hydrops may develop in chronic dacryocystitis in various periods of this conditions, starting from 2-3 months up to 5-7 years. In 25 cases the condition developed because of lacrimal canaliculi orifice blocking, in 10 because of canalicular orifice obliteration. In 30 patients yellowish-white viscous stinking purulent discharge was found in the lacrimal sac closed cavity, in 5 mucous-serous fluid. Present-day surgical methods have proved to be highly effective in the management of hydrops. In 10 patients with canalicular orifice obliteration canaliculodacryocystorhinostomy was carried out with temporary silicone tube intubation of the canaliculus; remote results were completely successful in 8 patients and partially effective in 2. In the rest 25 cases dacryocystorhinostomy was carried out with completely effective remote results in all the patients.