Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue

Bogdanici, Camelia Margareta; Costea, Claudia Florida; Dimitriu, Gabriela; Chihaia, Madalina Adriana; Carauleanu, Alexandru; Cucu, Andrei; Sava, Anca; Dumitrescu, Gabriela Florenta; Turliuc, Serban; Turliuc, Mihaela Dana

Camelia Margareta Bogdanici, Claudia Florida Costea, Gabriela Dimitriu, Madalina Adriana Chihaia, Alexandru Carauleanu, Andrei Cucu, Anca Sava, Gabriela Florenta Dumitrescu, Serban Turliuc, Mihaela Dana Turliuc

Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue

Abstract:

Methylene blue (MB) has many uses in medicine, being applied as a treatment for infections, malaria, methemoglobinemia, as a dye for diagnosis and for staining of cells, tissues and bacteria. In elderly patients with associated high anaesthetic risk, dacryocystectomy is an alternative to dacryocystorhinostomy. This is an observational clinical study for two cases of chronic dacryocystitis where dacryocystectomy combined with MB (1%) staining of lacrimal sac was performed. Case no.1 - an 81-year old female patient with arterial hypertension, atherosclerosis, pulmonary fibrosis, and lower limb varices complainted of recurrent epiphora, muco-purulent secretions in both eyes, inflammatory oedema of the left perisacular region for the past 6 months. Case no. 2 - a 74-year old female patient with hypothyroidism suffered from chronic epiphora in the left eye with a purple-red oedema of the inferior eyelid and perisacular region. Symptoms reoccurred in the last 10 months despite topical and systemic therapy with antibiotics and anti-inflamatory drugs. Dacryocystectomy was performed under local anaesthesia in both patients. MB (1%) was used to irrigate the lacrimal sac in order to facilitate its localisation, dissection and excision. Results: Case no.1. Ectopic lacrimal sac. Case no.2. Enlarged lacrimal sac (7.5/14 mm). The histopathological examination revealed a trachomatous dacryocystitis, respectively a chronic non-suppurative non-granulomatous dacryocystitis. Their postoperative evolution was without complications, except for a mild epiphora. In conclusion, dacryocystectomy appears to be a less traumatising alternative to dacryocystorhinostomy. The staining of the lacrimal sac with MB (1%) in dacryocystectomy facilitates its identification and dissection, especially when it is ectopic.

Keywords:
dacryocystitis; methylene blue; lacrimal sac; dacryocystectomy

Issue: 2018, Volume 69, Issue 1

Pages: 172-174

Publication date: 2018/2/15

https://doi.org/10.37358/RC.18.1.6068

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
BOGDANICI, C.M., COSTEA, C.F., DIMITRIU, G., CHIHAIA, M.A., CARAULEANU, A., CUCU, A., SAVA, A., DUMITRESCU, G.F., TURLIUC, S., TURLIUC, M.D., Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue, Rev. Chim., 69(1), 2018, 172-174.

Vancouver
Bogdanici CM, Costea CF, Dimitriu G, Chihaia MA, Carauleanu A, Cucu A, Sava A, Dumitrescu GF, Turliuc S, Turliuc MD. Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue. Rev. Chim.[internet]. 2018 Jan;69(1):172-174. Available from: https://doi.org/10.37358/RC.18.1.6068

APA 6th edition
Bogdanici, C.M., Costea, C.F., Dimitriu, G., Chihaia, M.A., Carauleanu, A., Cucu, A.,... Turliuc, M.D. (2018). Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue. Revista de Chimie, 69(1), 172-174. https://doi.org/10.37358/RC.18.1.6068

Harvard
Bogdanici, C.M., Costea, C.F., Dimitriu, G., Chihaia, M.A., Carauleanu, A., Cucu, A., Sava, A., Dumitrescu, G.F., Turliuc, S., Turliuc, M.D. (2018). 'Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue', Revista de Chimie, 69(1), pp. 172-174. https://doi.org/10.37358/RC.18.1.6068

IEEE
C.M. Bogdanici, C.F. Costea, G. Dimitriu, M.A. Chihaia, A. Carauleanu, A. Cucu, A. Sava, G.F. Dumitrescu, S. Turliuc, M.D. Turliuc, "Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue". Revista de Chimie, vol. 69, no. 1, pp. 172-174, 2018. [online]. https://doi.org/10.37358/RC.18.1.6068

Text
Camelia Margareta Bogdanici, Claudia Florida Costea, Gabriela Dimitriu, Madalina Adriana Chihaia, Alexandru Carauleanu, Andrei Cucu, Anca Sava, Gabriela Florenta Dumitrescu, Serban Turliuc, Mihaela Dana Turliuc,
Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue,
Revista de Chimie,
Volume 69, Issue 1,
2018,
Pages 172-174,
ISSN 2668-8212,
https://doi.org/10.37358/RC.18.1.6068.
(https://revistadechimie.ro/Articles.asp?ID=6068)
Keywords: dacryocystitis; methylene blue; lacrimal sac; dacryocystectomy

RIS
TY - JOUR
T1 - Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue
A1 - Bogdanici, Camelia Margareta
A2 - Costea, Claudia Florida
A3 - Dimitriu, Gabriela
A4 - Chihaia, Madalina Adriana
A5 - Carauleanu, Alexandru
A6 - Cucu, Andrei
A7 - Sava, Anca
A8 - Dumitrescu, Gabriela Florenta
A9 - Turliuc, Serban
A10 - Turliuc, Mihaela Dana
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2018
VL - 69
IS - 1
SP - 172
EP - 174
UR - https://doi.org/10.37358/RC.18.1.6068
KW - dacryocystitis
KW - methylene blue
KW - lacrimal sac
KW - dacryocystectomy
ER -

BibTex
@article{RevCh2018P172,
author = {Bogdanici Camelia Margareta and Costea Claudia Florida and Dimitriu Gabriela and Chihaia Madalina Adriana and Carauleanu Alexandru and Cucu Andrei and Sava Anca and Dumitrescu Gabriela Florenta and Turliuc Serban and Turliuc Mihaela Dana},
title = {Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue},
journal = {Revista de Chimie},
volume = {69},
number = {1},
pages = {172-174},
year = {2018},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.18.1.6068},
url = {https://revistadechimie.ro/Articles.asp?ID=6068}
}

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