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The dacryolithiasis syndrome.

M J Hawes1

  • 1University of Colorado Medical Center, Denver.

Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Dacryolithiasis, or stones in the tear drainage system, affects 14% of patients undergoing dacryocystorhinostomy (DCR). History of acute dacryocystitis significantly increases the likelihood of dacryolithiasis, with DCR proving curative.

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Area of Science:

  • Ophthalmology
  • Otorhinolaryngology

Background:

  • Dacryoliths are calcified concretions within the lacrimal sac or nasolacrimal duct.
  • Dacryocystitis, an infection of the lacrimal sac, is often associated with dacryolithiasis.

Purpose of the Study:

  • To describe the typical patient profile with dacryolithiasis.
  • To determine the incidence of dacryolithiasis in patients undergoing dacryocystorhinostomy (DCR).
  • To evaluate the association between a history of acute dacryocystitis and the presence of dacryoliths.

Main Methods:

  • Retrospective review of 107 consecutive patients undergoing DCR.
  • Inclusion of 43 patients with a history of dacryocystitis.
  • Analysis of patient demographics, clinical history, and surgical findings.

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Main Results:

  • The incidence of dacryolithiasis among DCR patients was 14%.
  • The typical patient was 45 years old with a 4.8-year history of intermittent epiphora and prior acute dacryocystitis.
  • Patients with a history of acute dacryocystitis were nine times more likely to have a dacryolith.

Conclusions:

  • Dacryolithiasis is a significant finding in patients undergoing DCR, particularly those with a history of dacryocystitis.
  • Dacryocystorhinostomy is an effective treatment for dacryolithiasis, achieving curative results in all cases.