Chronic Dacryocystitis – It’s Evaluation and Management by Various Investigative and Diagnostic Test
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2013, Vol 3, Issue 10
Abstract
-Dacryocystitis is a common ailment encountered in ophthalmology practice and we had tried to find mean and measure to combat this malady with best possible measure. [b]Material and Method :- [/b]This study was conducted in 131 eyes of 100 cases of chromic dacryocystitis attending the ophthalmology out patient department of NSCB Medical College and Hospital Jabalpur during the year 2008-2013. Every patient was subjected to fluorescein dye disappearance test, primary and secondary Jones test followed by syringing. There after dacryocystrography was performed by injecting a radiographic contrast material under local anesthesia. Observation :- There were 76 female and 24 male, there was almost equal distribution of cases as far as right eye and left eye was concerned, 37% in right eye and 32% in left eye and 31% patient had bilateral involvement. Presenting complaints in patient were epiphora 46 %, epiphora with swelling 18% epiphora with discharge 21% epophora and discharge with swelling in 15% Chronic danyocytitis without swelling was present in 62.59%, mucocele in 19.08% pyocele in 12.21% fistula was present in 6.01%. [b]Result –[/b] During this study on syringing 22.90% showed regurgitation from same punctum and 77.10% showed regurgitation from upper punctum. On dacryocystography complete block was present in 78.8% and partial block was present in 21.2%, common canaliculi junction was blocked in 16.79%, valve of Krause was blocked in 60.30%, valve of hasner was blocked in 22.90%, Normal sac was present in 12.21%, enlarged sac was present in 74.80% fibrosed sac was present in 12.97%. Conclusion :-Dacryoystography is a safe modality in localising the site of block and meticulously planning out the treatment.
Authors and Affiliations
Dr. Pervez Ahemed Siddiqui , Dr. SumanBalaBandil , Dr. SwapneshSukhadeve
Keywords
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