Doctor insights on:
Mostly failure: Dacryocystorhinostomy is a procedure to replace a blocked tear drainage from the eyes to the nose. The most common problem is failure, that is blockage of the new drainage canal surgically constructed. Other problems are usually short term and can be treated in the post surgical recovery period.
DCR: This is a procedure to replace a blocked tear outflow tract (into the nose) by creating a window from the eye (lacrimal) canals into the nose which bypasses the obstructed system. It is used in cases in which the normal tear flow needs re-establishment as the tears would otherwise overflow onto the cheek. It is done by oculoplastic surgeons, an ophthalmic subspecialty.
Tear canal blockage: This is the procedure to substitute for the natural drainage of tears from eye to nose which can be obstructed sometimes spontaneously or by trauma. An artificial canal is created and the tears can then drain properly. It is usually performed by oculoplastic surgeons.
Blockage: This procedure, termed a dcr, bypasses a blocked tear plumbing system that ordinary carries tears into the nose from the eye (s). The indication is blockage that cannot be corrected with probing, and tear overflow that becomes unpleasant for the patient who wants it to stop.
Can be either: eye doctor performs external ENT doctor performs endoscopic You choose!
Endoscopic: Endoscopic is less traumatizing with faster recovery time. It is trickier and requires more perfect anatomy to get good results. External exposes all the anatomy and can take care of things such as traumatic blockage better. Ask your oculoplastic surgeon which is best for your conditiion.
In an elderly person who excessively tears up, is dacryocystorhinostomy necessary before cataract removal procedure?
Rarely: This operation is rarely needed in elderly people.
She won't operate to remove her cataracts unless she has dacryocystorhinostomy done with another doctor. Is ther totally necessary?
Depends: Good vision after cataract surgery is depends, in part, on a good quality tear film. If a patient has chronic tearing or infections of the nasolacrimal duct requiring a DCR, then often it is best to do the DCR first to give the patient the best chance of good quality vision after cataract surgery.See 1 more doctor answer
Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?
Coblation: Understand, these treatments are low (not zero) risk, but for what purpose? Contained herniation means that there is no pressure on the nerves, and the disc is simply not in a "normal" location within the disc space. Study? Fine. These haven't worked except temporarily in the lumbar spine. I would be pessimistic. Maximize mckenzie pt. Not heat/us/tens as they are useless. If no other option, fine.
Complete your Q: Incompelete Question. Complication of Untreated which disease?
Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed.See 2 more doctor answers
Short and long term: There are both short and long term complications of tpn. Short term complications include infections, and imbalance of electrolytes, fluid status and blood glucose levels. Long term TPN can result in loss of IV access and also liver injury and cirrhosis. If you remain on TPN for more than 2-3 months, you should be evaluated at an intestine failure center which may consider intestine transplant.See 1 more doctor answer
Discuss w/ Retina MD: The most common complication from a vitrectomy is progression of cataract. At your age of 40, that may not be a major factor. Other risks that occur less than 5% of the time are retinal detachment, and bleeding. Post-operative infections from vitrectomies are rare. Depending on what the underlying condition is that you have, there may be a risk of disease progression and need for further surgery.See 1 more doctor answer
ESR is a marker of: Erythrocyte sedimentation rate (ESR) is a marker of inflammation, thus high inflammatory processes cause ESR to be higher. Infections, cancers, uncontrolled rheumatologic diseases, and endovascular inflammation (i.e. Arteritis) are examples. Thus, elevated ESR values suggest inflammatory conditions which should be sought and treated. Esr is not a complication, but a marker! Consult doc. Good luck.See 1 more doctor answer
Dehydration: Cvs = recurring attacks of intense nausea, vomiting and sometimes abdominal pain and/or headaches or migraines. This can lead to dehydration, nutritional deficits, high blood pressure during episodes, or damage to the mucosa of the esophagus (i.e. Mallory weiss tear).See 1 more doctor answer
Impetigo: Impetigo typically isn't dangerous, but complications can sometimes occur. For example, scarring, cellulitis- this potentially serious infection affects the tissues underlying your skin and eventually may spread to your lymph nodes and into the bloodstream. Left untreated, cellulitis can quickly become life-threatening, also one of the types of bacteria that cause impetigo can damage your kidneys.