Ophthalmic Plastics, Orbit and Ocular Oncology Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India.
Kanupriya Dalmia Ophthalmic Pathology Laboratory, LV Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian J Ophthalmol. 2019 May;67(5):665-668. doi: 10.4103/ijo.IJO_1136_18.
To describe the outcome of external dacryocystorhinostomy (DCR) as a suitable alternative to dacryocystectomy (DCT) in cases of isolated lacrimal sac rhinosporidiosis.
This was a retrospective, interventional case series. Institutional review board approval was obtained for the study. The chart review of 13 patients who underwent external DCR surgery for isolated lacrimal sac rhinosporidiosis between July 2012 and May 2018 was performed. Demographic details, clinical presentation, preoperative and intraoperative findings, surgical technique used, postoperative management, surgical outcome and duration of follow up were reviewed for each patient.
Thirteen patients were included in the study. Nine (69.2%) were male and four (30.8%) were female. The mean age was 22.1 years (range: 8-46 years). Involvement was unilateral in all cases. The commonest presenting complaint was epiphora with discharge seen in 10 cases (76.9%). An intrasac granuloma was grossly identified intraoperatively in 12 out of the 13 patients. Mean follow up was 26.9 months (range: 1.5-68 months). Till the last follow up, all cases were symptom free and did not have any evidence of recurrence of infection.
From this series of cases reported by the authors, external DCR with appropriate precautions to prevent recurrence appears to be a suitable alternative to conventional DCT with excellent long-term outcomes without disease recurrence.
描述作为孤立性泪囊鼻孢子虫病替代泪囊切除术（DCT）的外部泪囊鼻腔吻合术（DCR）的结果。
这是一项回顾性的介入性病例系列研究。本研究获得了机构审查委员会的批准。对 2012 年 7 月至 2018 年 5 月期间接受外部 DCR 手术治疗孤立性泪囊鼻孢子虫病的 13 例患者的图表进行了回顾。回顾了每位患者的人口统计学资料、临床表现、术前和术中发现、使用的手术技术、术后管理、手术结果和随访时间。
本研究共纳入 13 例患者。男性 9 例（69.2%），女性 4 例（30.8%）。平均年龄为 22.1 岁（范围：8-46 岁）。所有病例均为单侧受累。最常见的表现是溢泪伴分泌物，10 例（76.9%）。术中 13 例患者中均肉眼可见囊内肉芽肿。平均随访时间为 26.9 个月（范围：1.5-68 个月）。截至最后一次随访，所有病例均无症状，且无感染复发的证据。
作者报告的这一系列病例表明，外部 DCR 加上适当的预防复发措施，似乎是传统 DCT 的一种合适替代方法，具有出色的长期效果，且无疾病复发。
