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Scientific correspondence
Lacrimal drainage surgery in Wegener's granulomatosis
  1. Anthony S L Kwan,
  2. Geoffrey E Rose
  1. Moorfields Eye Hospital, London EC1V 2PD
  1. Mr G E Rose, Lacrimal Clinic, Moorfields Eye Hospital, City Road, London EC1V 2PD

Abstract

AIM To examine the results of open lacrimal surgery in patients with Wegener's granulomatosis.

METHODS A retrospective review of patients with Wegener's granulomatosis who underwent lacrimal surgery over a 17 year period.

RESULTS 11 patients were identified and a total of 14 primary dacryocystorhinostomies (DCR) and one revisional DCR were performed; symptomatic relief was achieved in 13/14 operations and one patient required revisional surgery for persistent symptoms. There were no intraoperative and few postoperative complications.

CONCLUSIONS In contrast with some previous reports, open DCR appears to be a safe procedure and it is recommended as a treatment for lacrimal obstruction in patients with Wegener's granulomatosis, but an increase of perioperative immunosuppression is recommended in certain cases.

  • dacryocystorhinostomy
  • Wegener's granulomatosis

https://doi.org/10.1136/bjo.84.3.329

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