Early and late assessment of internal drainage of chronic dacryocystitis.
To evaluate the efficacy of internal drainage of a lacrimal abscess, we treated 10 patients with pyocele of the lacrimal sac, who did not want to undergo operative intervention. A temporary nasolacrimal stent was placed in the nasolacrimal duct, and the pussy material was collected for microbiological examination to adjust the preliminary antibiotic treatment which was given systemically and locally. The stents were removed after the infection had subsided clinically. Three years later, there was a recurrence of the infection in only 1 patient. This internal drainage of the lacrimal sac, combined with systemic and local antibiotics, was successful in 90% of the patients.
Mansour
Khaled
K
Department of Ophthalmology, Academic Hospital, University of Groningen, The Netherlands. k.mansour@ohk.azg.nl
Janssen
Alfred G
AG
van Bijsterveld
O Paul
OP
D000038:Abscess / Q000382:microbiology / Q000628:therapy*; D000368:Aged; D000369:Aged, 80 and over; D001419:Bacteria / Q000302:isolation & purification; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003607:Dacryocystitis / Q000382:microbiology / Q000628:therapy*; D003907:Dexamethasone / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D004322:Drainage / Q000379:methods*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct; D015607:Stents
D005839:Gentamicins; D003907:Dexamethasone; D004318:Doxycycline