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Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube

BACKGROUND: Treatment of lacrimal sac abscess of the traditional surgical approach may result in complications from cutaneous fistula formation, damage the sac, cause skin scarring and even have the potential for inducing cicatricial ectropion. We designed a new treatment scheme that is expected to...

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Autores principales: Lin, Lin, Yang, Li, Jin, Xiuming, Zhao, Yingying, Fan, Fangli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5131464/
https://www.ncbi.nlm.nih.gov/pubmed/27903249
http://dx.doi.org/10.1186/s12886-016-0378-y
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author Lin, Lin
Yang, Li
Jin, Xiuming
Zhao, Yingying
Fan, Fangli
author_facet Lin, Lin
Yang, Li
Jin, Xiuming
Zhao, Yingying
Fan, Fangli
author_sort Lin, Lin
collection PubMed
description BACKGROUND: Treatment of lacrimal sac abscess of the traditional surgical approach may result in complications from cutaneous fistula formation, damage the sac, cause skin scarring and even have the potential for inducing cicatricial ectropion. We designed a new treatment scheme that is expected to achieve internal drainage with the use of lacrimal probe and crawford silicon tube. METHODS: A prospective study was performed for the management of lacrimal sac abscesses. All suitable patients from January 2011 to June 2014 were managed by lacrimal probe and crawford tube insertion. Postoperatively, patients received 0.5% Levofloxacin eye drops four times per day and oral Levofloxacin tablets 0.5 g once per day for four days. Follow-up times were for more than three months after removing the Crawford tube. The condition of the lacrimal sac and the patient’s symptoms were carefully evaluated. RESULTS: Fourteen patients suffering from lacrimal sac abscesses were included in this study. A history of chronic dacryocystitis was found in six patients, after acute dacryocystitis was found in three patients, and nasolacrimal occlusion with epiphora was found in other five patients. Resolution of signs and symptoms of lacrimal sac abscesses in all fourteen patients. No recurrence of lacrimal sac abscesses occurred during the median follow up period of 20.9 ± 7.8 months (range 6–36 months). Epiphora reoccurred in four patients. CONCLUSIONS: Lacrimal probe and crawford silicon tube is successful as a procedure of choice for lacrimal sac abscesses. The insertion of a Crawford tube also offers potential advantages over standard treatment with the lack of recurrence of dacryocystitis or infection in post-surgical patients.
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spelling pubmed-51314642016-12-12 Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube Lin, Lin Yang, Li Jin, Xiuming Zhao, Yingying Fan, Fangli BMC Ophthalmol Research Article BACKGROUND: Treatment of lacrimal sac abscess of the traditional surgical approach may result in complications from cutaneous fistula formation, damage the sac, cause skin scarring and even have the potential for inducing cicatricial ectropion. We designed a new treatment scheme that is expected to achieve internal drainage with the use of lacrimal probe and crawford silicon tube. METHODS: A prospective study was performed for the management of lacrimal sac abscesses. All suitable patients from January 2011 to June 2014 were managed by lacrimal probe and crawford tube insertion. Postoperatively, patients received 0.5% Levofloxacin eye drops four times per day and oral Levofloxacin tablets 0.5 g once per day for four days. Follow-up times were for more than three months after removing the Crawford tube. The condition of the lacrimal sac and the patient’s symptoms were carefully evaluated. RESULTS: Fourteen patients suffering from lacrimal sac abscesses were included in this study. A history of chronic dacryocystitis was found in six patients, after acute dacryocystitis was found in three patients, and nasolacrimal occlusion with epiphora was found in other five patients. Resolution of signs and symptoms of lacrimal sac abscesses in all fourteen patients. No recurrence of lacrimal sac abscesses occurred during the median follow up period of 20.9 ± 7.8 months (range 6–36 months). Epiphora reoccurred in four patients. CONCLUSIONS: Lacrimal probe and crawford silicon tube is successful as a procedure of choice for lacrimal sac abscesses. The insertion of a Crawford tube also offers potential advantages over standard treatment with the lack of recurrence of dacryocystitis or infection in post-surgical patients. BioMed Central 2016-11-30 /pmc/articles/PMC5131464/ /pubmed/27903249 http://dx.doi.org/10.1186/s12886-016-0378-y Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lin, Lin
Yang, Li
Jin, Xiuming
Zhao, Yingying
Fan, Fangli
Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title_full Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title_fullStr Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title_full_unstemmed Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title_short Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
title_sort management lacrimal sac abscesses using lacrimal probe and crawford silicon tube
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5131464/
https://www.ncbi.nlm.nih.gov/pubmed/27903249
http://dx.doi.org/10.1186/s12886-016-0378-y
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