The purpose is to report an unusual case of orbital non-Hodgkin lymphoma. A 75-year-old man presented with bilateral chronic epiphora complaint and inferior eyelid tumors, axial proptosis, without previous systemic manifestation. The patient was submitted to bilateral endonasal dacryocystorhinostomy twice and the epiphora complaint persisted. The inferior eyelid and bone marrow biopsy revealed ...

THE routine excision of lacrimal sacs with obstructed drainage is bad surgical practice, and the provision of drainage through the lacrimal bone into the middle meatus of the nose has become the accepted procedure. In past years the time-consuming operation of Toti and its modifications have been accepted as the only satisfactory methods of achieving this aim. These operations, however, are ted...

External OCR used to be the gold standard for the treatment of epiphora till a decade back. However it carried significant morbidity and the success rate was dismal. The advent of endoscope coupled with the understanding of anatomy of the lateral wall of nose opened out an avenue to deal with these cases endoscopically. In our series of 30 cases we achieved successful relief of symptoms in 28 c...

AIMS To describe a method of securing indwelling O'Donohughe's lacrimal tubes in dacryocystorhinostomy using two 3-4 mm Watski sleeves. METHODS The operative technique used to secure the sleeves into position on the lacrimal tubes is described. Forty seven procedures with a follow up ranging from 3 to 30 months (mean 10 months) are reviewed. RESULTS The tubes and sleeves were well tolerated...

Epiphora (watering eye) is generally caused by insufficient drainage of tears. The most common cause of epiphora in adults is idiopathic inflammatory obstruction of the nasolacrimal duct. The traditional surgical treatment of nasolacrimal duct obstruction is an external dacryocystorhinostomy, which has an 85% to 95% success rate. To eliminate cutaneus wounds and scarring some techniques were in...

PURPOSE To evaluate the outcome of the modified technique of external dacrycystorhinostomy with anterior flaps anastomosis only. METHODS This prospective study included 52 patients with lacrimal drainage system disorders who underwent the modified technique of external dacrycystorhinostomy with anterior flaps anastomosis only. In this modified procedure of external dacryocystorhinostomy, anas...