Soriano Luciana Mc, Damasceno Nadyr A, Herzog Neto Guilherme, Damasceno Eduardo F
Department of Ophthalmology, Universidade Federal Fluminense, Niterói, Brazil.
Department of Ophthalmology, Hospital Naval Marcílio Dias, Rio de Janeiro, Brazil.
Clin Ophthalmol. 2019 Jul 16;13:1267-1271. doi: 10.2147/OPTH.S200923. eCollection 2019.
To compare the clinical profile of patients with chronic dacryocystitis (CDC) with and without associated chronic rhinosinusopathies who had been submitted to external dacryocystorhinostomy (EDCR).
This was a retrospective, observational, and longitudinal study that included all patients diagnosed with CDC who were submitted to EDCR at the Antonio Pedro University Hospital. Patients were divided into two groups, with and without rhinosinusopathies (Group I and Group II, respectively). The following variables were assessed to compare the Group I and Group II: age, ethnicity, epiphora, discharge by expression of the lacrimal sac, duration of the CDC, and previous history of CDC exacerbation.
The study included a total of 78 patients, 22 patients (28.2%) in Group I and 56 patients (71.8%) in Group II. The mean age was 64.3 (±19.7) years. In Group I and II predominated elderly, female, and White (=0.93, =0.38, =0.77). In relation to the clinical characteristics, most of the patients presented epiphora and discharge by compression of the lacrimal sac in both Groups (=0.61, =0.44). In relation to a previous history of exacerbations of the CDC, six patients in Group I and four patients in Group II presented it as purulent discharge (=0.04).
Chronic rhinosinusopathies may favor episodes of exacerbations of chronic dacryocystitis in particular with the presence of purulent discharge.
比较接受外路泪囊鼻腔吻合术（EDCR）的慢性泪囊炎（CDC）患者中，伴有和不伴有慢性鼻-鼻窦炎的患者的临床特征。
这是一项回顾性、观察性纵向研究，纳入了所有在安东尼奥·佩德罗大学医院被诊断为CDC并接受EDCR的患者。患者被分为两组，分别为伴有和不伴有鼻-鼻窦炎（分别为I组和II组）。评估以下变量以比较I组和II组：年龄、种族、溢泪、泪囊按压时有分泌物、CDC的病程以及CDC既往加重史。
该研究共纳入78例患者，I组22例（28.2%），II组56例（71.8%）。平均年龄为64.3（±19.7）岁。I组和II组中以老年、女性和白人为主（=0.93，=0.38，=0.77）。关于临床特征，两组中大多数患者均有溢泪和泪囊按压时有分泌物（=0.61，=0.44）。关于CDC既往加重史，I组有6例患者，II组有4例患者表现为脓性分泌物（=0.04）。
慢性鼻-鼻窦炎可能尤其在出现脓性分泌物时促使慢性泪囊炎加重发作。
