[Does a iatrogenic damage caused by dacryography exist?].
This study was aimed at investigating the changes in corneal epithelium caused by dacryocystography. Such changes can be either chemical--from iodate contrast media (iodized oil and water-soluble non-ionic cm)--or physical--from needle or catheter. Twenty-five patients (50 eyes) were studied using BUT, Schirmer tests, biomicroscopy, and pachymetry. Follow-ups immediately after dacryocystography demonstrated superficial keratitis, which was less severe with water-soluble non-ionic cm. Such lesions were hardly ever observed in patients who had been treated with dacriosol ointment on the cornea just before the X-ray exam. Follow-ups at 24 hours showed the superficial keratitis to have disappeared in all patients, independent of the kind of cm employed and of the ophthalmic ointment applied to the cornea.
Montanara
A
A
Servizio Speciale di Radiologia Oto-Oculistica e, Università degli Studi La Sapienza, Roma.
Pocobelli
A
A
Ponte
P
P
Polli
N S
NS
Missiroli
A
A
D000328:Adult; D000368:Aged; D003287:Contrast Media / Q000009:adverse effects*; D003315:Cornea / Q000187:drug effects; D003316:Corneal Diseases / Q000139:chemically induced / Q000209:etiology* / Q000517:prevention & control; D004848:Epithelium / Q000187:drug effects; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007459:Iodized Oil / Q000009:adverse effects; D007765:Lacrimal Apparatus / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011859:Radiography / Q000009:adverse effects*; D013997:Time Factors
D003287:Contrast Media; D009883:Ophthalmic Solutions; D007459:Iodized Oil
Esistono danni iatrogeni da dacriografia?