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Lacrimal Duct Defect

Lacrimal Duct Defects


Presentation

  • Prepare for the USMLE Step 1 with clinical case presentations, highlighted in special boxes, that demonstrate how embryology concepts relate to clinical practice.[books.google.ro]
  • Acronym LCDD Synonyms Lacrimal duct obstruction Nasolacrimal duct obstruction Disclaimer Any medical or genetic information present in this entry is provided for research, educational and informational purposes only.[uniprot.org]
  • Presents updated coverage including an expanded section on pathology...and new chapters on granular cell tumors, targeted therapies, integration of radiotherapy and chemotherapy to keep you current.[books.google.ro]
  • The Case A term female presents with abnormal facies.[neoreviews.aappublications.org]
  • Neoplasm [ edit ] Neoplasm should be considered in any patient presenting with NLD obstruction.In patients with an atypical presentation, including younger age and male gender, further workup is appropriate.[en.wikipedia.org]
Respiratory Distress
  • Common presenting signs include dacryocystitis, facial cellulitis, and respiratory distress; the development of astigmatism in association with dacryocystocele has only rarely been observed (summary by Shekunov et al., 2010).[ncbi.nlm.nih.gov]
  • Systemic Features: Facial cellulitis and respiratory distress may be associated. Genetics Homozygous mutations in the IGSF3 gene (1p13) have been reported in multiple male offspring of a consanguineous couple.[disorders.eyes.arizona.edu]
Periorbital Edema
  • Periorbital edema MedGen UID: 56223 • Concept ID: C0151205 • Pathologic Function Edema affecting the region situated around the orbit of the eye.[ncbi.nlm.nih.gov]
Hydrops Fetalis
  • Stay at the forefront of your field thanks to new and completely revised chapters covering topics such as: Principles and Practice l Immune and Non-immune Hydrops Fetalis l Amniotic Fluid Volume l Enhancing Safe Prescribing in the Neonatal Intensive Care[books.google.ro]
Meningism
  • Haemophilus influenza type b endocarditis and meningitis in a previously healthy child. Pediatr Infect Dis -J. 1992; 11:48-49. TABLE* Common Bacterial Agents for Pediatrie Infective Endocarditis[healio.com]

Workup

  • Workup for tearing Most oculoplastic texts elaborate on the workup for tearing patients. The workup begins with the medical history. Determining whether both eyes are affected yields insight into the possible causes of the tearing.[healio.com]
  • Neoplasm [ edit ] Neoplasm should be considered in any patient presenting with NLD obstruction.In patients with an atypical presentation, including younger age and male gender, further workup is appropriate.[en.wikipedia.org]
  • Your child’s doctor will need to perform a full workup if this occurs. Doctors can often correct colobomas with surgery. Dermatochalasis This condition occurs when excessive eyelid skin or fat hangs over the edge of the eye and obstructs vision.[healthline.com]
Blood Culture Positive

Treatment

  • Make informed clinical choices for each patient , from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.ro]
  • Stay at the forefront of your field with updated treatment methods throughout, as well as an increased focus on patients with skin of color.[books.google.com]
  • It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice .[uniprot.org]
  • Includes more than 1,500 figures and tables that offer high quality depictions of surgery and treatment procedures. Offers step-by-step guidance through both text and clinical boxes that makes the material relevant to everyday practice.[books.google.ro]
  • Treatment Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. The most common treatment for a blocked tear duct is gently milking or massaging the tear duct 2 to 3 times a day.[stlouischildrens.org]

Prognosis

  • PMID: 17318093 Prognosis Kim HK, Baek WI, Bae TH, Kim WS Ann Plast Surg 2015 Aug;75(2):170-3. doi: 10.1097/SAP.0000000000000062. PMID: 26165571 Lykoudis EG, Lykoudis GE, Alexiou GA Aesthetic Plast Surg 2015 Jun;39(3):410-3.[ncbi.nlm.nih.gov]
  • PMID: 17318093 Prognosis Bhargava M, Benurwar S, Krishnakumar S Cornea 2019 Mar;38(3):386-387. doi: 10.1097/ICO.0000000000001824. PMID: 30499832 Kim HK, Baek WI, Bae TH, Kim WS Ann Plast Surg 2015 Aug;75(2):170-3. doi: 10.1097/SAP.0000000000000062.[ncbi.nlm.nih.gov]
  • Prognosis - Tetra amelia with ectodermal dysplasia and lacrimal duct abnormalities Not supplied. Treatment - Tetra amelia with ectodermal dysplasia and lacrimal duct abnormalities Not supplied.[checkorphan.org]
  • Lacrimal Gland Tumours Carcinoma Epithelial origin Painful, usually short history Causes local bony erosion Usually biopsied after trial of antibiotics If biopsy ve, requires radical local resection with RT Poor prognosis 30.[slideshare.net]
  • Bilateral endocarditis in children: trends in its diagnosis, course and prognosis. Pediatr Cardiol. 1992; 13:198-203. 19. Fukushige J, Igarashi H, Ueda K- Spectrum of infective endocarditis during infancy. Pediatr Cardiol. 1994; 15:127-131. 20.[healio.com]

Etiology

  • Etiology Orbit 2017 Dec;36(6):441-444. Epub 2017 Aug 24 doi: 10.1080/01676830.2017.1337186. PMID: 28837389 Shafi F, Rathore D, Johnson A, Mehta P, Ahluwalia HS Orbit 2017 Apr;36(2):64-68. Epub 2017 Mar 7 doi: 10.1080/01676830.2017.1279654.[ncbi.nlm.nih.gov]
  • Etiology Middle East Afr J Ophthalmol 2018 Jul-Dec;25(3-4):156-160. doi: 10.4103/meajo.MEAJO_3_17. PMID: 30765954 Free PMC Article Huggins AB, Stefanyszyn MA, Nyquist G, Rabinowitz MP Orbit 2017 Dec;36(6):441-444.[ncbi.nlm.nih.gov]
  • Etiology includes age-related dehiscence of the levator muscle, Horner's syndrome, third cranial nerve palsy, myasthenia gravis and trauma. 11 Treatment is usually surgical, depending on the etiology. View/Print Figure FIGURE 15.[aafp.org]
  • Although S pneumoniae and H influenzae are not frequent causes of pediatrie bacterial endocarditis, numerous studies have implicated these organisms as the etiologic agent for IE in this age group. 13'14·17'18 Endocarditis caused by H influenzae is an[healio.com]

Epidemiology

  • In this article, we shall briefly review the epidemiology, clinical presentation and the common causes of this condition. Epidemiology Clinical research has shown that nasolacrimal duct obstruction occurs in 2 to 4 out of 100 newborn babies.[eyeplastics.com]
  • Epidemiology of invasive pneumoccal infections in children in Finland. JAMA. 1992; 268:3323-3327. 18. Hansen D, Schmiegelow K, Jacobsen JR. Bilateral endocarditis in children: trends in its diagnosis, course and prognosis.[healio.com]
Sex distribution
Age distribution

Pathophysiology

  • New insights into the pathophysiology of primary acquired dacryostenosis. Ophthalmology 2001;108:2329–2336. 22. Salour H, Hatami MM, Parvin M, et al. Clinicopathological study of lacrimal sac specimens obtained during DCR. Orbit 2010;29:250–253. 23.[synapse.koreamed.org]
  • Pathophysiology/Statistics Although quite common, the frequency of nasolacrimal drainage obstruction is unknown. It has no racial predilection. PANDO is more commonly seen in middle-aged and elderly females.[eyeplastics.com]
  • Conjunctivochalasis: literature review and possible pathophysiology. Surv Ophthalmol. 1998;43:225-232. Meller D, Maskin SL, Pires RT, Tseng SC. Amniotic membrane transplantation for symptomatic conjunctivochalasis refractory to medical treatments.[healio.com]
  • New insights into the pathophysiology of primary acquired dacryostenosis. Ophthalmology 2001; 108:12:2329-36. 17. De Bree R, Scheeren RA, Kummer A, Tiwari RM. Nasolacrimal duct obstruction caused by an oncocytoma. Rhinology 2002;40:3:165-7. 18.[reviewofophthalmology.com]

Prevention

  • The American Heart Association continually revises its recommendations for prevention of bacterial endocarditis, and provides a list of common surgical and dental procedures in which antibiotic prophylaxis is recommended.[healio.com]
  • Causes - Tetra amelia with ectodermal dysplasia and lacrimal duct abnormalities Down syndrome Metabolic disorders Childbirth injury Maternal drug use Genetic birth defects Prenatal infections Infections contracted at birth Cerebral palsy Brain injury Prevention[checkorphan.org]
  • The regeneration of salivary and lachrymal glands Saliva not only helps digestion, but also makes speech and deglutition smooth, and it prevents tooth decay and the bacillus breeding.[cdb.riken.jp]
  • A small plastic tube or stent is placed in the passageway to keep it open and to prevent scarring.[kadrmaseyecare.com]
  • Follow these tips to prevent the development of eyelid disorders: Wash your eyelids regularly with warm water and baby shampoo to help prevent infections and inflammation. Avoid touching or rubbing your eyes with your hands.[healthline.com]

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