title: Case report of sump syndrome after laser conjunctivodacryocystorhinostomy.
abstract: The sump syndrome was initially described in relation to patients who had undergone external dacryocystorhinostomy. Here we report a case of sump syndrome that developed following laser conjunctivodacryocystorhinostomy (CDCR) due to tube displacement after a bout of forceful sneezing. Unlike cases of external dacryocystorhinostomy where flaps are sutured, there is a potential space created by the sac remnants in laser CDCR. Hence, any displacement of the tube will lead to the improper drainage of secretions with superadded infections of the contents (as occurred in this case). Therefore, in laser CDCR, it is imperative to create an appropriately placed osteotomy with a correctly sized tube that is well secured to avoid displacement along with patient education regarding tube care.
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: Ruchi
authors.initials: R
authors.lastname: Goel
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Kishore
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: Sushil
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: Tushar
authors.initials: T
authors.lastname: Agarwal
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: Smriti
authors.initials: S
authors.lastname: Nagpal
authors.affiliation: Maulana Azad Medical College, New Delhi, India.
authors.forename: A G
authors.initials: AG
authors.lastname: Apoorva
keywords: Conjunctivodacryocystorhinostomy; Jones tube; Proximal canalicular block; Sump syndrome