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Kasturi Bhattacharjee Manpreet Singh Richa Shrivastava Ganesh Chandra Kuri Samir Serasiya Harsha Bhattacharjee 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):258-264
Objective
To report the long-term outcomes of the conjunctivo-rhinostomy surgery with labial mucosal graft performed for the patients of proximal lacrimal drainage system disorders.Methods
Retrospective, single surgeon (KB), non-comparative study including patients having complete obstruction of the superior and inferior proximal lacrimal drainage system. All patients underwent conjunctivo-rhinostomy with labial mucosal graft insertion. Preoperatively, tear film break-up time and a fluorescein dye disappearance test was performed for each patient. A phaco aspiration tubing segment was used for supporting the mucosal graft for first 4 weeks followed by its removal. Minimum follow-up was 12 months. fluorescein dye disappearance test and nasal endoscopy were performed at each follow-up visit. Total resolution of epiphora and negative fluorescein dye disappearance test was defined as complete success.Results
Eighteen patients (12 males, 6 females) with a mean age of 39.94 years (range 7–76 years) all had a unilateral presentation. The indication for surgery was trauma (n?=?11), failed dacryocystorhinostomy (DCR) with canalicular obstruction (n?=?4), chronic ocular inflammation with complete punctal occlusion (n?=?2), and post-radiotherapy (n?=?1). At a mean follow-up of 5.38 years, complete success was observed in 12 (66.67%), partial success in 4 (22.22%) while in 2 (11.11%) patients, the procedure failed.Conclusion
Labial mucosal graft in conjunctivo-rhinostomy is a successful adjunct which provides satisfactory long-term outcomes. Our surgical technique of directly suturing the mucosal graft to surrounding muscle provides better functionality to the system with eyelid blinking. 相似文献7.
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Parthopratim Dutta Majumder Amit Palkar Radha Annamalai Jyotirmay Biswas 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2018,53(3):193-198
Diagnosis and management of uveitis always remains a challenge to the treating ophthalmologists. Rapid diagnosis and timely initiation of appropriate, effective treatment in uveitis are the critical determinants that lead to good visual outcome and reduce the risk of ocular morbidity. In the last decade, significant progress has been made in molecular diagnostic modalities and in development of newer diagnostic tools, which included serological tests and imaging techniques. However, a tailored approach to laboratory investigations based on meticulous history and comprehensive ocular evaluation has been propounded as the gold standard for successful management of an uveitic entity. In this article, we review the laboratory diagnostic tests in uveitis as well as recent technological advances in laboratory science, which may be the future direction for diagnosis of uveitis. 相似文献