Lacrimal excretory system sequelae in patients treated for leishmaniasis

Arquivos Brasileiros de Oftalmologia

Erika Hoyama²  Silvana Artioli Schellini²  Hamilton Ometo Stolf²  Vitor Nakajima¹ 

[1] ,Universidade Estadual Paulista Júlio Mesquita Filho Faculdade de Medicina Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e PescoçoBotucatu SP ,Brasil

关键词: Leishmaniasis;    Lacrimal duct obstruction;    Endoscopy;    Nasal cavity;    Leishmaniose;    Obstrução dos ductos lacrimais;    Endoscopia;    Cavidade nasal;   

DOI  :  10.1590/S0004-27492006000300010

来源: SciELO

【 摘 要 】

Leishmaniasis infection may involve destruction of nasal tissues resulting in lacrimal drainage system alteration. PURPOSE: To evaluate the frequency of lacrimal excretory system sequelae in patients treated for leishmaniasis. METHODS: Forty-five leishmaniasis-treated patients (90 nasolacrimal ducts) were submitted to lacrimal excretory system evaluation. All were evaluated by Jones I test and when it was abnormal, dacryocystography and nasal endoscopy were performed. This situation occurred in 13 patients (26 nasolacrimal ducts). RESULTS: The majority of evaluated patients had the cutaneous form (64.4%) of leishmaniasis, however, 69.23% of the patients with lacrimal excretory system alterations had the mucocutaneous form of infection before treatment. In these, the most common alteration detected was bilateral permeable and dilated nasolacrimal ducts (92.30%). Only 3.84% (1/26) of the evaluated nasolacrimal ducts were obstructed. Nasal endoscopy showed turbinate hypertrophy (53.84%), septum deviation (53.84%) and nasal septum perforation (23.07%). CONCLUSION: Permeable and dilated lacrimal excretory system were the most common sequelae related to leishmaniasis infection.

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