The dacryolithiasis syndrome.
A syndrome of the typical patient with a dacryolith in the lacrimal sac or nasolacrimal duct is described, based on review of 107 consecutive patients undergoing dacryocystorhinostomy (DCR) and 43 patients with a history of dacryocystitis. The incidence of dacryolithiasis was 14% of all patients having a DCR. The typical patient with a dacryolith was 45 years old, had a 4.8 year history of intermittent epiphora, had at least one episode of acute dacryocystitis, and could be irrigated with some fluid getting into the nasopharynx. Patients undergoing DCR with a history of acute dacryocystitis had a nine times higher likelihood of having a dacryolith than DCR patients without a history of acute dacryocystitis. DCR was curative in all 15 patients with a dacryolith.
Hawes
M J
MJ
University of Colorado Medical Center, Denver.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002137:Calculi / Q000150:complications* / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003607:Dacryocystitis / Q000150:complications; D003608:Dacryocystorhinostomy; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007766:Lacrimal Apparatus Diseases / Q000150:complications* / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013577:Syndrome