Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy
AIM: To investigate the clinical profile of patients with acquired lacrimal sac mucocele (ALSM) and evaluate the efficacy of endoscopic dacryocystorhinostomy (En-DCR) for this condition. METHODS: En-DCRs were performed on 141 patients with ALSM patients from January 2016 to March 2022. The clinical...
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Press of International Journal of Ophthalmology (IJO PRESS)
2025-02-01
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| Online Access: | http://ies.ijo.cn/en_publish/2025/2/20250207.pdf |
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| author | Ying-Jie Ma Guang-Ming Zhou Zhi-Rong Liu Jin-Fei Wei Xin-Yu Li Bin Dong Lin-Juan Wu Wen-Can Wu Bo Yu |
| author_facet | Ying-Jie Ma Guang-Ming Zhou Zhi-Rong Liu Jin-Fei Wei Xin-Yu Li Bin Dong Lin-Juan Wu Wen-Can Wu Bo Yu |
| author_sort | Ying-Jie Ma |
| collection | DOAJ |
| description | AIM: To investigate the clinical profile of patients with acquired lacrimal sac mucocele (ALSM) and evaluate the efficacy of endoscopic dacryocystorhinostomy (En-DCR) for this condition. METHODS: En-DCRs were performed on 141 patients with ALSM patients from January 2016 to March 2022. The clinical baseline information and magnetic resonance imaging (MRI) images were recorded and summarized. To assess the effectiveness of En-DCR therapy, both anatomical and functional success rate was assessed during a 12mo follow-up. RESULTS: A total of 141 patients, with a mean age of 57.70±14.11y, were enrolled in this study. Majority of the patients were female (n=91; 64.54%) and all had unilateral disease. All patients had a previous history of epiphora and purulent secretion, and the duration from lacrimal duct obstruction to mucocele formation ranged from 6 to 120mo. MRI findings consistently revealed an enlarged sac diameter, fluid accumulation separated by a thin rim from adjacent tissues, which is indicative of lacrimal sac mucocele. En-DCR was performed with an anatomical success rate of 93.62% and a functional success rate of 81.56%. CONCLUSION: ALSM is more commonly seen in females and unilaterally. It is essentially a complication of lacrimal duct obstruction. MRI characteristics can be used for precise clinical diagnosis, while En-DCR emerges as an optimal therapy for this condition. Our results provide a comprehensive reference for the diagnosis and treatment of ALSM. |
| format | Article |
| id | doaj-art-575373386fca43daafea3a20da9a0047 |
| institution | Kabale University |
| issn | 2222-3959 2227-4898 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj-art-575373386fca43daafea3a20da9a00472025-01-16T07:54:35ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982025-02-0118224425010.18240/ijo.2025.02.0720250207Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomyYing-Jie Ma0Guang-Ming Zhou1Zhi-Rong Liu2Jin-Fei Wei3Xin-Yu Li4Bin Dong5Lin-Juan Wu6Wen-Can Wu7Bo Yu8Bo Yu and Wen-Can Wu. National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China. yubo312@eye.ac.cn; wuwencan@wmu.edu.cnNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaThe Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, ChinaAIM: To investigate the clinical profile of patients with acquired lacrimal sac mucocele (ALSM) and evaluate the efficacy of endoscopic dacryocystorhinostomy (En-DCR) for this condition. METHODS: En-DCRs were performed on 141 patients with ALSM patients from January 2016 to March 2022. The clinical baseline information and magnetic resonance imaging (MRI) images were recorded and summarized. To assess the effectiveness of En-DCR therapy, both anatomical and functional success rate was assessed during a 12mo follow-up. RESULTS: A total of 141 patients, with a mean age of 57.70±14.11y, were enrolled in this study. Majority of the patients were female (n=91; 64.54%) and all had unilateral disease. All patients had a previous history of epiphora and purulent secretion, and the duration from lacrimal duct obstruction to mucocele formation ranged from 6 to 120mo. MRI findings consistently revealed an enlarged sac diameter, fluid accumulation separated by a thin rim from adjacent tissues, which is indicative of lacrimal sac mucocele. En-DCR was performed with an anatomical success rate of 93.62% and a functional success rate of 81.56%. CONCLUSION: ALSM is more commonly seen in females and unilaterally. It is essentially a complication of lacrimal duct obstruction. MRI characteristics can be used for precise clinical diagnosis, while En-DCR emerges as an optimal therapy for this condition. Our results provide a comprehensive reference for the diagnosis and treatment of ALSM.http://ies.ijo.cn/en_publish/2025/2/20250207.pdfacquired lacrimal sac mucoceleclinical profilemagnetic resonance imagingendoscopic dacryocystorhinostomy |
| spellingShingle | Ying-Jie Ma Guang-Ming Zhou Zhi-Rong Liu Jin-Fei Wei Xin-Yu Li Bin Dong Lin-Juan Wu Wen-Can Wu Bo Yu Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy International Journal of Ophthalmology acquired lacrimal sac mucocele clinical profile magnetic resonance imaging endoscopic dacryocystorhinostomy |
| title | Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| title_full | Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| title_fullStr | Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| title_full_unstemmed | Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| title_short | Behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| title_sort | behavior and outcomes of 141 acquired lacrimal sac mucoceles treated via endoscopic dacryocystorhinostomy |
| topic | acquired lacrimal sac mucocele clinical profile magnetic resonance imaging endoscopic dacryocystorhinostomy |
| url | http://ies.ijo.cn/en_publish/2025/2/20250207.pdf |
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