Dacryocystectomy: goals, indications, techniques and complications

Area of Science:

• Ophthalmology
• Oculoplastics
• Surgical Procedures

Background:

• Dacryocystectomy, the complete surgical removal of the lacrimal sac, has historical significance in treating lacrimal system conditions.
• It predates dacryocystorhinostomy and was once the standard for dacryocystitis and lacrimal fistulas.

Purpose of the Study:

• To provide a comprehensive overview of dacryocystectomy.
• To discuss its specific indications, surgical goals, techniques, and potential complications.

Main Methods:

• Review of historical and current surgical practices for dacryocystectomy.
• Discussion of indications, including malignant lacrimal sac tumors.
• Description of standard external incision techniques and exceptional endoscopic approaches.

Main Results:

• Dacryocystectomy is a seldom performed procedure globally but remains valuable for specific indications.
• Malignant lacrimal sac tumors represent a key indication for this surgery.
• The procedure is typically performed via an external skin incision.

Conclusions:

• Dacryocystectomy, while less common, retains a crucial role in specific oculoplastic surgical scenarios.
• Understanding its indications, techniques, and complications is essential for its appropriate application.
• The procedure is primarily indicated for malignant lacrimal sac tumors and is usually performed externally.