title: Lacrimal drainage surgery in Wegener's granulomatosis.
abstract: OBJECTIVE
  To examine the results of open lacrimal surgery in patients with Wegener's granulomatosis.
  
  
  METHODS
  A retrospective review of patients with Wegener's granulomatosis who underwent lacrimal surgery over a 17 year period.
  
  
  RESULTS
  11 patients were identified and a total of 14 primary dacryocystorhinostomies (DCR) and one revisional DCR were performed; symptomatic relief was achieved in 13/14 operations and one patient required revisional surgery for persistent symptoms. There were no intraoperative and few postoperative complications.
  
  
  CONCLUSIONS
  In contrast with some previous reports, open DCR appears to be a safe procedure and it is recommended as a treatment for lacrimal obstruction in patients with Wegener's granulomatosis, but an increase of perioperative immunosuppression is recommended in certain cases.
authors.affiliation: Moorfields Eye Hospital, London EC1V 2PD, UK.
authors.forename: A S
authors.initials: AS
authors.lastname: Kwan
authors.forename: G E
authors.initials: GE
authors.lastname: Rose
mesh_terms: D000328:Adult; D003608:Dacryocystorhinostomy; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000601:surgery*; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome