Lacmiral Duct Occlusion
Liquid that humidifies eye flows through lacmiral duct to inside of nose. Usually occlusion of lacmiral sac leads to Lacmiral Duct Occlusion disease. It is mostly seen in new born babies, middle age woman and patients who have dysmorphosis in the nose. When the lacmiral duct is blocked, liquid can not flow to the nose so it will be leaking out from the eye. It causes infection on eye.
Symptoms of Lacmiral Duct Occlusion
- Heavy dilution
- Blurry eye
- Infection comes out from duck with pressing on nasal roots
- Swelling of nasal roots
Treatment of Lacmiral Duct Occlusion on Babies
- Massage technique applied to nasal roots in first year. It will apply 5 minutes each 3 o 4 times a day. Probability of success is around %95 in massage technique.
- Antibiotic eye drop is used in patients who have blurry eyes.
- If massage technique is not successful, doctors will use probing technique. Second probing will apply if the first one is not successful.
- If Both probing are not successfull, then patients wait until 3 years old and have dacryocystorhinostomy operation.
Treatment of Lacmiral Duct Occlusion on Adults
1- Multidiode Laser operation
Lacmiral Duct Occlusion is very quick and bloodless with Multidiode Laser operation.
What are the advantages of Multidiode Laser operation between other surgeries?
- Most important advantage of multidiode laser is duration of surgery. It takes about 8 to 10 minutes.
- It slightly or never bleeds.
- Tissues may slightly be damaged.
- Recovery duration is very short. Patients can return their daily lives.
- There are no lacerations in this operation.
- Patients who have Lacmiral Duct Occlusion surgery before have more chance to have successful operation.
- Procedure can be watched with endoscope inside of the nose and the doctor interfere from here if its necessary..
What is the dependences success on surgery? Can surgery reproduce?
Success of surgery depends on the doctor’s experience. Patient should have good examination before the surgery. Success rate is around 90 % in this technique whereas the sucsess rate could only be around 87.5 % in the other surgeries. If another surgery is needed then success rate can be 100 %.
2- Dacryocystorhinostomy (Open Surgery))
Doctors apply laceration on nasal root about 1 cm under local or general anesthesia.
- A small window made on nasal bone,
- Doctors make straight entrance from lacmiral sac to nasal cavity,
- Silicon tubes can be used through punctum in some situation,
- Lacerations closed with stitches and surgery ends.
Complications of Dacryocystorhinostomy operation.
- Infection on the area