title: Management of congenital lacrimal sac fistula.
abstract: Fourteen patients who were treated for symptomatic congenital lacrimal sac fistula were retrospectively reviewed to evaluate surgical success. Excision of the fistula alone was performed on 9 patients and excision with nasolacrimal intubation on 5 patients (to our knowledge, the latter has not been previously described in the English literature). None of the 14 patients were symptomatic postoperatively during a mean follow-up of 16 months, with a range from 3 to 39 months. We conclude that dacryocystorhinostomy is usually not necessary to successfully treat symptomatic congenital lacrimal sac fistula.
authors.affiliation: Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52242.
authors.forename: L D
authors.initials: LD
authors.lastname: Birchansky
authors.forename: J A
authors.initials: JA
authors.lastname: Nerad
authors.forename: R C
authors.initials: RC
authors.lastname: Kersten
authors.forename: D R
authors.initials: DR
authors.lastname: Kulwin
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005402:Fistula / Q000151:congenital* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007440:Intubation; D007766:Lacrimal Apparatus Diseases / Q000151:congenital* / Q000601:surgery; D008297:Male; D008722:Methods; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies