Abstract：
OBJECTIVE:To evaluate the effect of partial surgical excision of enlarged lacrimal caruncles, termed megalocaruncles, in patients with epiphora from functional lacrimal drainage obstruction. DESIGN:Retrospective, noncomparative, interventional case series. PARTICIPANTS:From May 1995 through December 1999, 88 patients (46 women and 42 men; mean age, 68 years) with epiphora, patent lacrimal drainage system on irrigation, and a megalocaruncle underwent a partial lacrimal carunculectomy procedure. In 26 patients, a bilateral partial lacrimal carunculectomy was performed. INTERVENTION:Lacrimal caruncular tissue, with its overlying mucosa, was partially excised, and the wound was closed with interrupted sutures. MAIN OUTCOME MEASURES:Symptomatology and patient satisfaction. RESULTS:After a partial lacrimal carunculectomy procedure, epiphora was subjectively improved in 77% of the patients, ranging from complete relief in 33% to significant improvement in 44% of the patients. Twenty-three percent of the patients had no change in symptoms. The mean follow-up was 12.7 months. CONCLUSIONS:Megalocaruncles can be the cause of epiphora in patients with functional lacrimal drainage obstruction, for whom a partial lacrimal carunculectomy is an effective surgical procedure in 77% of the cases.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Mombaerts I,Colla Bdoi
10.1016/s0161-6420(00)00637-0subject
Has Abstractpub_date
2001-04-01 00:00:00pages
793-7issue
4eissn
0161-6420issn
1549-4713pii
S0161-6420(00)00637-0journal_volume
108pub_type
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