Acquired nasolacrimal duct obstruction
a retrospective study
DOI:
https://doi.org/10.70313/2718.7446.v17.n04.379Keywords:
nasolacrimal duct obstruction, epiphora, lacrimal ductAbstract
Objective. To evaluate the predisposing causes of acquired nasolacrimal duct obstruction in a population of patients from Rosario, Argentina.
Materials and methods. A retrospective study of a case series with a diagnosis of acquired nasolacrimal duct obstruction, attended at the Centro Oftalmológico Francia Rosario (Santa Fe, Argentina) from January to June 2024, was performed. In each case we reviewed information related to sex, age, sinus disease, trauma, palpebral malposition, related chronic inflammatory disease (Sarcoidosis, Wegener among others), previous nasal surgery and neoplasms of the nasolacrimal region.
Results. Twenty cases were included, 65% women. The mean age was 64.4 ±9.5 years (48-85), where the majority (75%) were older than 60 years. Regarding risk factors, 20% had a history of previous nasal surgery, 15% were associated with sinus pathology, another 15% with eyelid malposition, 10% with a history of trauma, and only one case was due to neoplasia.
Conclusion. The most frequent predisposing causes of acquired nasolacrimal duct obstruction were mainly female sex and age, followed by a history of sinus disease and previous nasal surgery. Problems related to eyelids, trauma and tumors were found in fewer cases.
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