Dactryolithiasis -Analysis of 15 Cases
Komínek P.1 ,Červenka S.2 ,Doškářová Š.3 ,Heiderová D.3 ,Slabík D.4 , Hušek P.4 ,Buryška J.5
1 ORL oddělení Nemocnice,Frýdek Místek,primář MUDr.P.Komínek,Ph.D. 2 Oční ambulance,Otrokovice 3 OHS Karviná -oddělení anorganických analýz -OHS,Karviná,vedoucí RNDr.Š.Doškářová 4 Ústav klinické FN Ostrava-Poruba,primář MUDr.A.Pohlídal 5Oddělení klinické biochemie Městské nemocnice Ostrava-Fifejdy,primářMUDr.J.Buryška |
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Summary:
Dacryoliths are found in 15-20%patients subject to dacryocystorhinostomy.Dac-
ryoliths are formedbyproteins orcalciumandphosphate salts.Inthedevelopment
or dacryolithiasis participates chronic inflammation of the sac,it is found more
frequently in women where some part is played by the structure of the lacrimal
duct,hormonal influence and the use of cosmetic preparations.
A typical sign of the disease in the variability of complaints and results of clinical
examinations.Assessment of the diagnosis before surgery can be facilitated by dacry-
ocystography.The method of choice in dacryolithiasis is dacryocystorhinostomy.
The authors present their own group of 16 dacryolithis which they observed 10x
in women and 5x men.The concrements were examined by the method of infrared
spectroscopy and gas chromatography.All were formed by proteins;calcium and
phosphate salts were not found In all patients after dacryocystorhinostomy the
complaints disappeared.
Key words:
dactryolithiasis,etiology,dacryocystography,infrared spectroscopy,
gas chromatography,dacryocystorhinostomy
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