Behavior and outcomes of 70 adult lacrimal sac mucoceles. (4th May 2021)

• Record Type: Journal Article
• Authors: Nayak, Arpita; Ali, Mohammad Javed; Tripathy, Devjyoti; Mohapatra, Samir; Bansal, Oshin; Rath, Suryasnata
• Is Part Of: Orbit. Volume 40:Number 3(2021)
• Page Start: 228
• Page End: 232
• Publication Date: 2021-05-04
• Subjects: Adult -- dacryocystorhinostomy -- lacrimal -- mucocele; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2020.1767155
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: Purpose : To study the clinical profile and outcomes in adults with lacrimal sac mucoceles. Methods : A retrospective, interventional study on consecutive adult patients with lacrimal sac mucoceles who underwent dacryocystorhinostomy (DCR)/dacryocystectomy surgery. Primary outcome measure was subsidence of lacrimal sac swelling after intervention. Secondary outcome measure was anatomical patency of the lacrimal system. Results : A total of 70 patients were studied, mean age of the group being 49.2 ± 13.5 years. Majority of the patients were female (n = 49; 70%) and all had unilateral disease. An appreciable number (n = 14; 20%) presented with acute dacryocystitis of which 6(8%) developed a lacrimal sac fistula. Encystment of the lacrimal sac mucocele was seen in 47 (67%) patients, 3(4%) developed preseptal cellulitis and 3(4%) needed imaging. Resolution of sac swelling after intervention was seen in 70 (100%) patients. Definitive management was DCR in 57 (81%) patients, of which anatomical patency was achieved in 55 (96%) patients, mean duration of follow up of the group being 138 ± 70.2 days. A trend to prefer adjuvants like Mitomycin-C and/or intubation was noted in 56 (98%) of patients. Conclusions : Adult lacrimal sac mucocele is more commonly seen in females and unilaterally. Complications of this entity include encysted mucocele (67%), acute dacryocystitis (20%), lacrimal sac fistula (8%), and preseptal cellulitis (4%). It is essentially a clinical diagnosis and favourable outcomes are seen with DCR surgery.