关键词: Canaliculi Epiphora Etiology Lacrimal system Nasolacrimal duct Punctum

来  源:   DOI:10.14744/bej.2023.38980   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of the study was to evaluate etiological and demographic characteristics of the adult patients referred to the oculoplastic surgery clinic of the tertiary care center with the complaint of epiphora.
UNASSIGNED: The medical records of the patients who applied to the oculoplastic surgery clinic with a complaint of epiphora between January 2014 and July 2021 were reviewed retrospectively. Etiology of epiphora, age, gender, duration of symptom, and follow-up period were evaluated. According to the etiological factors, nasolacrimal system disorders such as punctal stenosis, canalicular stenosis, canaliculitis, and acquired nasolacrimal system obstruction, respectively; the causes of epiphora were grouped as eyelid abnormalities such as entropion and ectropion, and hypersecretory tear secretion due to causes such as dry eye, allergy, and inflammation. The patients with epiphora over the age of 18 with at least 6 months of follow-up were included in the study. Patients with congenital or tumor-related nasolacrimal duct obstruction (NLDO) and epiphora due to trauma-related eyelid or canaliculi injury were not included.
UNASSIGNED: A total of 595 medical fields were evaluated. Epiphora was present in 747 eyes of 595 patients. Of the patients, 221 (37%) were male and 376 (63%) were female. According to etiological evaluation of frequency, 372 (62.5%, 432 eyes) patients with NLDO, 63 (10.5%, 123 eyes) patients with punctal stenosis, 44 (7.3%) patients with ectropion, 38 (6.3%) patients with entropion, 37 (6.2%, 69 eyes) patients hypersecretory causes (dry eye, allergy, inflammation, etc.), 24 (4%) patients had primary canaliculitis, and 17 (2.8%) patients had epiphora due to canalicular occlusion.
UNASSIGNED: Epiphora is an important complaint that may occur due to different etiologies. A detailed examination of the anterior segment, lacrimal system and eyelids, and taking a history are the most important steps in the management of the patient.
摘要:
UNASSIGNED:本研究的目的是评估转诊到三级护理中心眼整形外科诊所的成年患者的病因和人口统计学特征。
UNASSIGNED:回顾性审查了2014年1月至2021年7月期间申请眼整形外科诊所并主诉溢唇的患者的病历。泪液的病因,年龄,性别,症状持续时间,并对随访期进行评价。根据病因,鼻泪系统疾病,如泪点狭窄,小管狭窄,泪囊炎,获得性鼻泪系统阻塞,分别将其原因分为眼睑异常,如内翻和外翻,干眼等原因导致的分泌过多的泪液分泌,过敏,和炎症。该研究包括18岁以上且随访至少6个月的溢唇患者。不包括先天性或肿瘤相关的鼻泪管阻塞(NLDO)和因外伤相关的眼睑或泪小管损伤引起的泪滴的患者。
未经评估:共评估了595个医学领域。在595例患者的747只眼中存在顿光。在患者中,221(37%)为男性,376(63%)为女性。根据病因学评估的频率,372(62.5%,432只眼)NLDO患者,63(10.5%,123眼)泪点狭窄患者,44例(7.3%)外翻患者,38例(6.3%)内翻患者,37(6.2%,69眼)患者分泌过多的原因(干眼,过敏,炎症,等。),24例(4%)患者患有原发性泪小管炎,17例(2.8%)患者因泪小管闭塞而出现泪溢。
UNASSIGNED:Epiphora是一种重要的投诉,可能由于病因不同而发生。对眼前段的详细检查,泪系统和眼睑,记录病史是患者管理中最重要的步骤。
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