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[Transient internal palpebral inocclusion after dacryocystorhinostomy]
B Fayet1, J A Bernard, P Ritleng
1Hôpital de jour d'ophtalmologie, C.H.U. de Bicêtre, Fac. Méd. Paris-Sud, Le Kremlin-Bicêtre.
Journal Francais D'Ophtalmologie
|January 1, 1993
Summary
Two patients experienced immediate postoperative lagophthalmos after dacryocystorhinostomy (DCR) surgery. This complication occurred despite using an inferior surgical approach to treat chronic dacryocystitis.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Chronic dacryocystitis with mucocele is a common condition requiring surgical intervention.
- Dacryocystorhinostomy (DCR) is a standard surgical procedure to restore lacrimal drainage.
Observation:
- Two female patients, aged 67 and 62, presented with chronic dacryocystitis and mucocele.
- Both patients underwent an ab externo dacryocystorhinostomy (DCR) with an inferior surgical approach, preserving the inner canthal ligament.
Findings:
- Immediate postoperative lagophthalmos, the inability to close the eyelids completely, was observed in both patients following the DCR procedure.
- The complication occurred despite the chosen surgical technique aimed at minimizing tissue disruption.
Implications:
- This case report highlights a potential complication of the ab externo DCR technique, even with modifications.
- Further investigation into the causes and prevention of lagophthalmos after DCR is warranted.
- Ophthalmologists should be aware of this risk when performing DCR procedures.