1.Clinical Study of Lacrimal Fistulas in the Oculoplastic Surgery.
So Min HWANG ; Jennifer Kim SONG ; Kyoung Seok OH ; Kwang Ryeol LIM ; Jae Won CHOI
Journal of the Korean Society of Aesthetic Plastic Surgery 2008;14(2):145-149
Lacrimal fistula, a rare developmental disorder, may result from an abnormal budding of the epithelial cord of the lacrimal system. Most cases are unilateral, however, bilateral cases are still more rare, which are combined with other systemic diseases or accompanying disorders. This entity has so far been known only to ophthalmologist. We would like to illustrate lacrimal fistula in patients who were referred to our clinic for periorbital cosmetic surgery, such as blepharoptosis and epicanthus, from April 2005 to December 2007. Fistular orifices of all 6 patients were had been located inferomedial to medial canthi along the epicanthal fold. Out of 6 patients, 4 patients presented with unilateral lacrimal fistula; right side in 3 patients and left side in 1 patient, and bilateral lacrimal fistulas in 2 patients. Three cases were found to have positive connection between the nasolacrimal apparatus, and blind pouch type in 5 cases. Three out of six patients underwent fistulectomy with concurrent cosmetic periorbital surgery. In 2 patients who presented with connection with the nasolacrimal apparatus, fistulectomy and lacrimal sac or the common lacrimal canaliculi repair was performed as well. The remaining one patient with bilateral blind pouch type of lacrimal fistulas underwent a simple fistulectomy. There were no postoperative complications or any recurrences.
Blepharoptosis
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Cosmetics
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Fistula
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Humans
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Lacrimal Apparatus
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Lacrimal Apparatus Diseases
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Postoperative Complications
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Recurrence
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Surgery, Plastic
2.Dacryocystitis associated with nasolacrimal duct cyst.
Mi Young CHOI ; Se Oh OH ; Moo Jin CHOO
Korean Journal of Ophthalmology 1995;9(2):122-124
An infant presented with persistent epiphora after successful probing of the lacrimal system. Examination of the nose showed a cystic structure occluding lower portion of the lacrimal drainage system. In cases of recurrent obstruction, nasal examination and endoscopic marsupialization may help guide the clinician towards the most appropriate treatment.
Cysts/*complications/surgery
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Dacryocystitis/*complications/surgery
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Endoscopy
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Female
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Humans
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Infant
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Lacrimal Apparatus Diseases/*complications/surgery
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*Nasolacrimal Duct
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Recurrence
4.Case Reports of Lacrimal Sac Tumors Discovered in Patients with Persistent Epiphora Following Dacryocystorhinostomy.
Ka Hyun LEE ; Sun Hyup HAN ; Jin Sook YOON
Korean Journal of Ophthalmology 2015;29(1):66-67
No abstract available.
Aged
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Biopsy
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Carcinoma, Squamous Cell/diagnosis/*etiology
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Dacryocystorhinostomy/*adverse effects
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Eye Neoplasms/diagnosis/*etiology
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Female
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Humans
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Lacrimal Apparatus/pathology/*surgery
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Lacrimal Apparatus Diseases/diagnosis/*etiology
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*Postoperative Complications
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Tomography, X-Ray Computed
5.Upper Eyelid Retraction After Periorbital Trauma.
Korean Journal of Ophthalmology 2008;22(4):255-258
We report four unusual cases of upper eyelid retraction following periorbital trauma. Four previously healthy patients were evaluated for unilateral upper eyelid retraction following periorbital trauma. A 31-year-old man (Case 1) and a 24-year-old man (Case 2) presented with left upper eyelid retraction which developed after blow-out fractures, a 44-year-old woman (Case 3) presented with left upper eyelid retraction secondary to a periorbital contusion that occurred one week prior, and a 56-year-old man (Case 4) presented with left upper eyelid retraction that developed 1 month after a lower canalicular laceration was sustained during a traffic accident. The authors performed a thyroid function test and orbital computed tomography (CT) in all cases. Thyroid function was normal in all patients, CT showed an adhesion of the superior rectus muscle and superior oblique muscle in the first case and diffuse thickening of the superior rectus muscle and levator complex in the third case. CT showed no specific findings in the second or fourth cases. Upper eyelid retraction due to superior complex adhesion can be considered one of the complications of periorbital trauma.
Accidents, Traffic
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Adult
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Eye Injuries/*complications/surgery
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Eyelid Diseases/*etiology/radiography
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Female
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Humans
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Lacerations/complications/surgery
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Lacrimal Apparatus/*injuries
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Male
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Middle Aged
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Oculomotor Muscles
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Orbital Fractures/*complications/surgery
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Tomography, X-Ray Computed