Oman Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 14  |  Issue : 3  |  Page : 157--161

Iatrogenic nasolacrimal duct obstruction after adnexal intervention: An avoidable consequence


Bipasha Mukherjee1, Avriel Isaac Gudkar1, Akshay Gopinathan Nair2, Nisar Sonam Poonam1, Md Shahid Alam3 
1 Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India
2 Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute; Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India
3 Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal; A Unit of Medical Research Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Md Shahid Alam
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Mukundapur, Kolkata, West Bengal; A Unit of Medical Research Foundation, Chennai, Tamil Nadu
India

PURPOSE: Isolated cases of nasolacrimal duct obstruction (NLDO) secondary to rhino-orbito-facial reconstructive surgeries have been reported previously. We report the clinical profiles and management outcomes of a series of patients with iatrogenic INDO. MATERIALS AND METHODS: Case records of all patients who presented with secondary NLDO over 5 years were retrospectively analyzed. The case series included seven patients with NLDO secondary to orbito-facial surgeries. RESULTS: The study included six males and one female patient with a mean age of 29 ± 12.58 years. All the patients had a history of road traffic accidents following which they underwent an open reduction and internal fixation by maxilla-facial surgeons. All of them presented to the Ophthalmology outpatient department with epiphora following the surgical intervention. Imaging revealed the implants were responsible for obstructing the nasolacrimal ducts in all seven cases. Five patients underwent external dacryocystorhinostomy while dacryocystectomy was performed in two. Implant removal was necessary for five patients without any compromise on the structural integrity of the orbital walls. CONCLUSION: Precise knowledge of the orbital anatomy, especially that of the lacrimal drainage system is imperative for surgeons performing surgeries in the midface area. A multidisciplinary approach and inclusion of surgeons trained in lacrimal surgeries can prevent such avoidable complications.


How to cite this article:
Mukherjee B, Gudkar AI, Nair AG, Poonam NS, Alam MS. Iatrogenic nasolacrimal duct obstruction after adnexal intervention: An avoidable consequence.Oman J Ophthalmol 2021;14:157-161


How to cite this URL:
Mukherjee B, Gudkar AI, Nair AG, Poonam NS, Alam MS. Iatrogenic nasolacrimal duct obstruction after adnexal intervention: An avoidable consequence. Oman J Ophthalmol [serial online] 2021 [cited 2022 Oct 4 ];14:157-161
Available from: https://www.ojoonline.org/article.asp?issn=0974-620X;year=2021;volume=14;issue=3;spage=157;epage=161;aulast=Mukherjee;type=0