Journal
SURVEY OF OPHTHALMOLOGY
Volume 61, Issue 3, Pages 309-313Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.survophthal.2015.12.003
Keywords
lacrimal apparatus; lacrimal sac abscess; canalicular laceration; lacrimal duct obstruction; stenting; dacryocystorhinostomy
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Numerous long-standing controversies influence the management of lacrimal sac abscesses, canalicular lacerations, and obstruction of the nasolacrimal duct. We examined the debatable beliefs that underline these controversies and concluded the following: drainage of a pointing lacrimal sac abscess can be well tolerated under local anesthesia, is associated with few adverse events, and should be performed regardless of whether systemic antibiotics have been administered. Reconstruction of monocanalicular lacerations should be considered in all cases, without distinction to whether the injury involves the upper or lower canaliculus. Finally, no firm evidence currently exists supporting intubation with routine dacryocystorhinostomy. (C) 2016 Elsevier Inc. All rights reserved.
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