Preoperative Computed Tomography Findings for Patients with Nasolacrimal Duct Obstruction or Stenosis.
10.3341/kjo.2016.30.4.243
- Author:
Seong Chan CHOI
1
;
Saem LEE
;
Hye Sun CHOI
;
Jae Woo JANG
;
Sung Joo KIM
;
Jung Hye LEE
Author Information
1. Myunggok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. katejung2000@kimeye.com
- Publication Type:Original Article
- Keywords:
Endonasal dacryocystorhinostomy;
Nasolacrimal duct obstruction;
Preoperative computed tomography
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Dacryocystorhinostomy/methods;
Female;
Follow-Up Studies;
Humans;
Lacrimal Duct Obstruction/*diagnosis;
Male;
Middle Aged;
Nasolacrimal Duct/*diagnostic imaging/surgery;
Preoperative Care/*methods;
Retrospective Studies;
Tomography, X-Ray Computed/*methods;
Young Adult
- From:Korean Journal of Ophthalmology
2016;30(4):243-250
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To identify and analyze the role of preoperative computed tomography (CT) in patients with tearing symptoms with nasolacrimal duct obstruction (NLDO). METHODS: We retrospectively reviewed the medical records and CT results on 218 patients who complained of tearing symptoms with NLDO between January 2014 and December 2014. All patients were recruited from Kim's Eye Hospital's outpatient clinic and assessed by clinical history, examination, and CT to evaluate periocular pathology and nasolacrimal drainage system. Patients with abnormal findings assessed by preoperative CT were further reviewed. RESULTS: CT was performed on 218 patients (average age, 58.2 ± 11.9 years). Of these, 196 (89.9%) had endonasal dacryocystorhinostomy, 14 (6.4%) declined surgery, and 8 (3.7%) were inoperable due to abnormal CT findings. Soft tissue opacity was the most common finding which 243 cases (85.9%) of 283 obstructed nasolacrimal duct and 89 cases (81.7%) of 109 non-obstructed nasolacrimal duct showed it. Thirty-nine (17.8%) of 218 patients showed either maxillary sinusitis or ethmoidal sinusitis and 32 (14.7%) of 218 patients presented with periocular inflammation. Other abnormal CT findings included septal deviations, previous fractures, masses, and structural abnormalities of nasal cavity. CONCLUSIONS: Preoperative CT imaging is useful in the assessment of both nasolacrimal drainage and nearby anatomical structures. This information will be helpful in planning surgical interventions and management of NLDO.
