The Experts below are selected from a list of 5160 Experts worldwide ranked by ideXlab platform
Bruce Schnall - One of the best experts on this subject based on the ideXlab platform.
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pediatric Nasolacrimal Duct Obstruction
Current Opinion in Ophthalmology, 2013Co-Authors: Bruce SchnallAbstract:PURPOSE OF REVIEW: Review the current management for pediatric Nasolacrimal Duct Obstruction and congenital dacryocele. RECENT FINDINGS: Early probing in the office, and probing beyond 1 year of age in a facility with general anesthesia are equally effective. Congenital Nasolacrimal Duct Obstruction is associated with anisometropic amblyopia. Infants with unilateral dacryocele are at risk for developing a dacryocele on the unaffected side. SUMMARY: The decision to probe early in the office or continue medical management and probe beyond a year of age in a facility with a general anesthetic is at the discretion of the ophthalmologist. Failed probings should be treated in a facility under general anesthesia with a balloon catheter or intubation. Children with congenital Nasolacrimal Duct Obstruction need to be followed to make certain they do not develop anisometropic amblyopia.
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Pediatric Nasolacrimal Duct Obstruction.
Current Opinion in Ophthalmology, 2013Co-Authors: Bruce SchnallAbstract:Purpose of reviewReview the current management for pediatric Nasolacrimal Duct Obstruction and congenital dacryocele.Recent findingsEarly probing in the office, and probing beyond 1 year of age in a facility with general anesthesia are equally effective. Congenital Nasolacrimal Duct Obstruction is a
Nancy A Tucker - One of the best experts on this subject based on the ideXlab platform.
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clinically suspected primary acquired Nasolacrimal Duct Obstruction clinicopathologic review of 150 patients
Ophthalmology, 1997Co-Authors: Nancy A Tucker, David R Chow, F A Stockl, Francois Codere, Miguel N BurnierAbstract:Abstract Purpose: The incidence of lacrimal sac pathology in patients with clinically suspected primary acquired Nasolacrimal Duct Obstruction is unknown. This is an important issue when considering the potential risk of either conservative nonsurgical management or laser dacryocystorhinostomy, neither of which permits direct visualization and biopsy of the lacrimal outflow apparatus. Methods: A total of 162 lacrimal sac biopsy specimens were obtained in 150 consecutive patients undergoing external or endonasal dacryocystorhinostomy for clinical primary acquired Nasolacrimal Duct Obstruction from January 1992 to October 1994. Results: A total of 147 patients (98%) had histopathologic findings consistent with inflammation or fibrosis of the lacrimal sac or both. In the remaining three patients, abnormalities included sarcoid granuloma (one patient), oncocytoma (one patient), and lymphoma (one patient). Conclusions: The incidence of significant pathology of the lacrimal sac in clinically suspected primary acquired Nasolacrimal Duct Obstruction is low. However, these cases can be identified correctly only by routine biopsy of the lacrimal sac during dacryocystorhinostomy.
Vasudha E Prakash - One of the best experts on this subject based on the ideXlab platform.
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outcome of probing for congenital Nasolacrimal Duct Obstruction in older children
American Journal of Ophthalmology, 2000Co-Authors: Santosh G Honavar, Vasudha E PrakashAbstract:Abstract PURPOSE: To evaluate the role of probing in congenital Nasolacrimal Duct Obstruction in children age 2 years and older and to establish factors predictive of the outcome. METHODS: The study was a single-center, prospective, interventional case series. Sixty patients with congenital Nasolacrimal Duct Obstruction aged 24 months or older (range, 24 to 186 months; median, 33 months) presenting consecutively to the authors' institutional referral practice were studied. Probing of the Nasolacrimal system under general anesthesia was the surgical intervention. Success of probing was the main outcome measure. Success was predefined as complete resolution of symptoms and signs (tearing, crusting, discharge, regurgitation on pressure over the lacrimal sac) of congenital Nasolacrimal Duct Obstruction within 3 weeks of the procedure and continued remission at 6 months. Two attempts at probing were necessary before the procedure was declared a failure. RESULTS: One attempt at probing resulted in resolution in 73.3% (44 of 60) patients. Sixteen patients needed a repeat procedure. The overall success rate was 80% (48 of 60). Two specific types of Obstructions of the Nasolacrimal Duct were recognized on probing: membranous and firm. Factors predictive of failure of probing were age older than 36 months ( P P = .012); failed conservative therapy ( P = .015); failed earlier probing ( P P P CONCLUSION: Results indicate that probing is a viable primary surgical option for congenital Nasolacrimal Duct Obstruction in children who present between 2 and 3 years of age, and identify factors predictive of poor prognosis.
Miguel N Burnier - One of the best experts on this subject based on the ideXlab platform.
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clinically suspected primary acquired Nasolacrimal Duct Obstruction clinicopathologic review of 150 patients
Ophthalmology, 1997Co-Authors: Nancy A Tucker, David R Chow, F A Stockl, Francois Codere, Miguel N BurnierAbstract:Abstract Purpose: The incidence of lacrimal sac pathology in patients with clinically suspected primary acquired Nasolacrimal Duct Obstruction is unknown. This is an important issue when considering the potential risk of either conservative nonsurgical management or laser dacryocystorhinostomy, neither of which permits direct visualization and biopsy of the lacrimal outflow apparatus. Methods: A total of 162 lacrimal sac biopsy specimens were obtained in 150 consecutive patients undergoing external or endonasal dacryocystorhinostomy for clinical primary acquired Nasolacrimal Duct Obstruction from January 1992 to October 1994. Results: A total of 147 patients (98%) had histopathologic findings consistent with inflammation or fibrosis of the lacrimal sac or both. In the remaining three patients, abnormalities included sarcoid granuloma (one patient), oncocytoma (one patient), and lymphoma (one patient). Conclusions: The incidence of significant pathology of the lacrimal sac in clinically suspected primary acquired Nasolacrimal Duct Obstruction is low. However, these cases can be identified correctly only by routine biopsy of the lacrimal sac during dacryocystorhinostomy.
Francois Codere - One of the best experts on this subject based on the ideXlab platform.
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clinically suspected primary acquired Nasolacrimal Duct Obstruction clinicopathologic review of 150 patients
Ophthalmology, 1997Co-Authors: Nancy A Tucker, David R Chow, F A Stockl, Francois Codere, Miguel N BurnierAbstract:Abstract Purpose: The incidence of lacrimal sac pathology in patients with clinically suspected primary acquired Nasolacrimal Duct Obstruction is unknown. This is an important issue when considering the potential risk of either conservative nonsurgical management or laser dacryocystorhinostomy, neither of which permits direct visualization and biopsy of the lacrimal outflow apparatus. Methods: A total of 162 lacrimal sac biopsy specimens were obtained in 150 consecutive patients undergoing external or endonasal dacryocystorhinostomy for clinical primary acquired Nasolacrimal Duct Obstruction from January 1992 to October 1994. Results: A total of 147 patients (98%) had histopathologic findings consistent with inflammation or fibrosis of the lacrimal sac or both. In the remaining three patients, abnormalities included sarcoid granuloma (one patient), oncocytoma (one patient), and lymphoma (one patient). Conclusions: The incidence of significant pathology of the lacrimal sac in clinically suspected primary acquired Nasolacrimal Duct Obstruction is low. However, these cases can be identified correctly only by routine biopsy of the lacrimal sac during dacryocystorhinostomy.
