title: Endoscopic dacryocystorhinostomy following radioactive iodine thyroid ablation.
abstract: This article evaluates the efficacy of endoscopic dacryocystorhinostomy (eDCR) for nasolacrimal duct obstruction (NLDO) in patients exposed to radioactive iodine (RAI) for treatment of thyroid carcinoma. Retrospective chart review of 7 eDCR procedures was performed on 6 patients, aged 18 or older, with prior RAI treatment, who underwent eDCR between January 1, 2008 and December 31, 2013 for treatment of epiphora due to NLDO. Average time to tube removal was 159 days, and average follow-up was 341 days. One patient noted complete epiphora relief at the time of their final visit. Partial symptom relief was noted by 3 patients, and recurrent epiphora was noted by 2 patients. In complex patients with RAI-associated NLDO, eDCR may be a reasonable option for relief of epiphora. Appropriate counseling, including the risks of incomplete symptom relief and need for additional surgery, should be discussed pre-operatively with these patients.
authors.affiliation: a Department of Ophthalmology , New York Presbyterian Hospital - Weill Cornell Medical College , New York , New York , USA.
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Van Tassel
authors.affiliation: a Department of Ophthalmology , New York Presbyterian Hospital - Weill Cornell Medical College , New York , New York , USA.
authors.forename: Kira L
authors.initials: KL
authors.lastname: Segal
authors.affiliation: b Department of Otolaryngology - Head and Neck Surgery Group , United States Air Force Academy , Colorado Springs , Colorado , USA.|c Department of Otolaryngology, Head and Neck Surgery , New York Presbyterian Hospital - Weill Cornell Medical College , New York , New York , USA.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Hsu
authors.affiliation: c Department of Otolaryngology, Head and Neck Surgery , New York Presbyterian Hospital - Weill Cornell Medical College , New York , New York , USA.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Kacker
authors.affiliation: a Department of Ophthalmology , New York Presbyterian Hospital - Weill Cornell Medical College , New York , New York , USA.
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Lelli
mesh_terms: D000328:Adult; D000368:Aged; D003608:Dacryocystorhinostomy / Q000379:methods*; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D007457:Iodine Radioisotopes / Q000009:adverse effects*; D007767:Lacrimal Duct Obstruction / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct / Q000528:radiation effects / Q000601:surgery*; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000532:radiotherapy*; D016896:Treatment Outcome
chemical_list: D007457:Iodine Radioisotopes
keywords: Endoscopic dacryocystorhinostomy; nasolacrimal duct obstruction; radioactive iodine; thyroid carcinoma