Lacrimal Passage Obstruction and Cataract Surgery: A Scoping Review and Recommendations for General Ophthalmology Practice.

IF 2.3 4区医学 Q2 OPHTHALMOLOGY

Seminars in Ophthalmology Pub Date : 2025-08-29 DOI:10.1080/08820538.2025.2551857

Mohammed Almanassra, Rath Suryasnata

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引用次数: 0

Abstract

Background: Lacrimal passage obstruction is common in patients with significant cataract awaiting surgery and may increase the risk of post-perative endophthalmitis.

Method: A PubMed-based search was conducted for a scoping review of the published evidence. In total, 17 articles were included.

Results: Overall, there is a dearth of scientific evidence on this subject, and the available studies are of poor quality. Nevertheless, some recommendations can be made. Evidence supports the recommendation that a routine lacrimal screening protocol should be performed before cataract surgery to decrease postoperative risk. Both lacrimal irrigation and regurgitation on pressure over the lacrimal sac (ROPLAS), or the micro-reflux test combined with a history of epiphora, have good sensitivity and excellent specificity for diagnosing nasolacrimal duct obstruction. An interval of about four weeks between dacryocystorhinostomy (DCR) and cataract surgery appears adequate for normalization of bacterial flora.

Conclusion: Although evidence is limited and of low quality, routine lacrimal screening and appropriate timing after DCR seem advisable in patients planned for cataract surgery.

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泪道阻塞和白内障手术：对普通眼科实践的范围审查和建议。

背景：泪道阻塞在严重白内障等待手术的患者中很常见，并可能增加术后眼内炎的风险。方法：基于pubmed的检索对已发表的证据进行范围审查。共包括17篇文章。结果：总体而言，关于这一主题缺乏科学证据，现有研究质量较差。尽管如此，还是可以提出一些建议。有证据支持在白内障手术前进行常规泪道筛查以降低术后风险的建议。泪囊压灌流法（ROPLAS）和泪囊压灌流法（ROPLAS）或泪囊微反流试验结合泪表病史诊断鼻泪管梗阻均具有良好的敏感性和极好的特异性。泪囊鼻腔造口术（DCR）和白内障手术之间的间隔约四周似乎足以使细菌群正常化。结论：尽管证据有限且质量较低，但对于计划行白内障手术的患者，常规泪道筛查和DCR后的适当时机似乎是可取的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.