Review of Surgical Treatment Methods for Chronic Obstruction of the Lacrimal System
Wydanie 3/2023
str. 48 – 55
Autorzy: Radosław Różycki1,2, Alan Chamernik2, Małgorzata Różycka2,3, Katarzyna Ulaszewska2, Katarzyna Różycka2,3, Piotr Nesterowicz3
1. Klinika Okulistyki Wojskowego Instytutu Medycyny Lotniczej w Warszawie
Kierownik: dr n. med. Radosław Różycki
2. Centrum Medyczne Orbita w Warszawie
3. Wydział Medyczny Uczelni Łazarskiego
Dziekan: dr hab. Paweł Olszewski
Summary:
Chronic nasolacrimal duct obstruction causes excessive tear outflow and recurrent eye infections, significantly impacting patients’ quality of life and vision function. Conservative treatments may not always yield desired results, leading to the necessity of surgical intervention.This paper aims to present the condition’s pathomechanism, causes, and discuss available treatment methods. The review of scientific literature involved databases, analyzing numerous papers and clinical cases. Chronic nasolacrimal duct obstruction can manifest as tearing, inflammation of the ocular surface, and lacrimal sac inflammation with abscess or mucous cyst formation, causing discomfort and hindering daily function. Although various surgical methods are available, dacryocystorhinostomy is a commonly used technique with a success rate of up to 85% in restoring tear outflow. External dacryocystorhinostomy is frequently regarded as the gold standard, while advanced techniques like endonasal dacryocystorhinostomy may be suitable for specific cases. Interdisciplinary collaboration between ophthalmologists and laryngologists is crucial for successful treatment outcomes. In conclusion, chronic nasolacrimal duct obstruction is a significant medical problem, but available treatments can improve patients’ quality of life. Further research and refinement of techniques are vital for patients’ benefit, necessitating cooperation among specialists to find the best solutions for each patient.