كليدواژه :
lacrimal probing , چشم پزشكي , first time , مجراي اشكي , ميل زدن
چكيده لاتين :
Purpose: To evaluate the results of lacrinal probing for the first time in the age above 15 months.
Methods: We studied the hospital records of 158 eligible patients with epiphora or mucopurulent discharge who underwent probing for the first time.
Results: Mean age was 3±4.2 years; 47% were male and 53% were female. In 78% of the cases unilateral probing and in 22% bilateral probing was required. Overall in 75% of cases, probing was successful. The success rate was 72% in unilateral and 82% in bilateral cases. Success rate was not related to age.
Conclusion: Probing of the lacrimal duct can be successful in congenital nasolacrimal duct obstruction even in higher age groups and if a patient with epiphora is referred for the first time at older ages, it is better to do probing as the first line of treatment; silicone intubation or DCR must be preserved only for failed cases.
Key words: lacrimal probing, first time
Etiology of Oculomotor Palsy: A Case Series of 28 Patients
Tabassi A, MD; Dehghani A, MD; Mosayebi H, MD
Purpose: To assess the etiology of oculomotor nerve palsy among 28 patients at Farabi Eye Hospital, Tehran-Iran.
Methods: This case series includes 28 patients with third nerve palsy. The diagnosis were divided into six groups based on symptoms and paraclinical studies: ischemic, traumatic, aneurysm, neoplasm, miscellaneous, and undetermined.
Results: Out of 28 patients, 9 (30%) had diabetes mellitus. The chief complain was mostly ptosis (79%). The pupil was normal in 16 patients (57%) and mydriatic in 12 patients (43%). The etiology was ischemic in 43%, traumatic in 14%, aneurysm in 7%, tumor in 7%, miscellaneous in 11%, and undetermined in 18% of the cases.
Conclusion: The most common cause of oculomotor nerve palsy is ischemic lesions and the most common risk factor is diabetes mellitus. Further studies to assess the relationship between third nerve palsy and blood sugar control is suggested.
