OBJECTIVE To assess the impact of the rate of spontaneous resolution of congenital nasolacrimal duct obstruction on the relative cost-effectiveness of deferred nasolacrimal duct probing in a surgical facility (DFPS) compared with an immediate office-based probing surgery (IOPS). METHODS Data from the literature, Medicare 2009 fee schedule, and consensus assumptions were combined to populate a...

There is significant variation in how ophthalmologists treat children with congenital obstructions of the nasolacrimal ducts. In the United States, some perform an in-office probing procedure on infants, whereas many prefer to wait until after 1 year of age when more than 90% of the obstructions will have resolved spontaneously. Whether or not to instruct parents to massage the lacrimal sac and...

BACKGROUND Nasolacrimal duct obstruction is caused by a variety of acquired and congenital etiologies. The standard treatment is dacryocystorhinostomy (DCR), with the gold standard being the external DCR. Since the advent of the nasal endoscope, the transnasal endoscopic DCR has gained popularity and has several advantages over the external approach. Some potential advantages include the avoida...

Introduction: Nasolacrimal duct obstruction at the junction of lacrimal sac and nasolacrimal causes acute or chronic dacryocystitis. Dacryocystorhinostomy (DCR) is treatment choice has a high success rate. Objective: To analyze rate external DCR surgery its influencing factors our hospital. Methods: It hospital-based descriptive study cases that underwent from June 2016 to February 2017 Biratna...

Primary lacrimal sac lymphoma is rare. The common clinical features are epiphora and medial canthal swelling which mimic nasolacrimal duct obstruction. Histological examination is therefore important to avoid delay in diagnosis and treatment. We report a case of primary lacrimal sac lymphoma in a 72-year-old female who developed a metachronous tumour at the hard palate one year after excision o...