The Clinical Study of Lacrimal Sump Syndrome after Endonasal Dacryocystorhinostomy.

Park, Won Ho; Kim, Myung Jin; Choi, Yong Jun; Kim, Sung Joo

Original Article

Journal of the Korean Ophthalmological Society 2005;46(7):1089-1094.
Published online July 31, 2005.

The Clinical Study of Lacrimal Sump Syndrome after Endonasal Dacryocystorhinostomy.

Won Ho Park, Myung Jin Kim, Yong Jun Choi, Sung Joo Kim

¹Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. cybereyedoc@hanmail.net
²Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea.

눈물길 썸프 증후군의 임상적 고찰

박원호¹,김명진²,최용준¹,김성주¹

Myung-Gok Eye Research Institute Department of Ophthalmology, Konyang University, Kim’s Eye Hospital¹, Seoul, Korea Department of Ophthalmology, Inje University Sanggye Paik Hospital², Seoul, Korea

Correspondence: Won-Ho Park, M.D.¹

Abstract

PURPOSE
To investigate the incidence and importance of diagnosis of lacrimal sump syndrome after endonasal dacryocystorhinostomy (DCR). METHODS: A retrospective analysis was performed on 837 eyes in 732 patients, (male 196, female 536) who had undergone endonasal DCR between January 2001 and June 2004. Dacryocystography (DCG) was performed in those patients who had recurrent epiphora or symptoms of dacryocystitis without saline regurgitation on syringing. RESULTS: Among the 90 eyes (10.8%) who had recurrent epiphora after endonasal DCR, 8 eyes were diagnosed with lacrimal sump syndrome and this comprised 8.9% of the causes of DCR failure. CONCLUSIONS: Lacrimal sump syndrome should be considered in the case of patients with recurrent epiphora. However, normal syringing finding after endonasal DCR, and revision may relieve the patients's symptom.

Key Words: Dacryocystography;Endonasal dacryocystorhinostomy;Lacrimal sump syndrome