Mao Bang-Xun, Wang Yao-Hua, Liu Zhen-Kai, An Ning-Yu, Jin Hai-Li, Wang Ming-Ling, Wu Wen-Can, Yu Bo
Department of Ophthalmology, Central Hospital of Lishui, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang Province, China.
Department of Orbital Disease and Ophthalmic Tumor, Affiliated Eye Hospital of Nanchang University, Nanchang 330000, Jiangxi Province, China.
Int J Ophthalmol. 2024 Sep 18;17(9):1689-1695. doi: 10.18240/ijo.2024.09.17. eCollection 2024.
To report the clinical profile, endoscopic dacryocystorhinostomy (En-DCR) management, and acute dacryocystitis (AD) outcomes in China.
Clinical data of 554 adult AD patients (554 eyes) who presented in 7 tertiary eye care centers for 10y from Jan 2010 to Mar 2020 were retrospectively analyzed. Clinical profile, En-DCR management, and outcomes of all cases were recorded. The anatomical and functional success were evaluated for 12mo post-operation.
The analysis included 149 males and 368 females with a median age of 55.2y (range: 18-84y). There were 459 eyes with a history of epiphora or purulent secretion. The time between a symptom of lacrimal duct obstruction and acute onset was 1 to 540 (66.1±58.2)mo. Fifty-nine eyes had a history of the previous acute attack. Seventy-four eyes developed a cutaneous fistula, while 11 eyes had post septal cellulitis pre-operation. En-DCR with an anatomical success of 91.7% and functional success of 90.1%. The success rate of the patients with a history of acute episodes and the preoperative fistula was lower than the overall success rates.
En-DCR can be performed during an acute episode in AD with a success rate of over 90%.
报告中国成人急性泪囊炎（AD）的临床特征、内镜下泪囊鼻腔造口术（En-DCR）治疗情况及治疗效果。
回顾性分析2010年1月至2020年3月期间，7家三级眼科中心10年收治的554例（554眼）成人AD患者的临床资料。记录所有病例的临床特征、En-DCR治疗情况及治疗效果。术后12个月评估解剖学和功能学成功率。
分析纳入149例男性和368例女性患者，中位年龄55.2岁（范围：18 - 84岁）。459眼有溢泪或脓性分泌物病史。泪道阻塞症状至急性发作的时间为1至540（66.1±58.2）个月。59眼有既往急性发作史。74眼形成皮肤瘘，11眼术前有鼻中隔后蜂窝织炎。En-DCR的解剖学成功率为91.7%，功能学成功率为90.1%。有急性发作史和术前有瘘管的患者成功率低于总体成功率。
AD急性发作期可进行En-DCR，成功率超过90%。
