{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:25:29Z","timestamp":1769905529909,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,10,29]],"date-time":"2013-10-29T00:00:00Z","timestamp":1383004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Royal Victorian Eye and Ear Hospital Human Research Committee","award":["07\/775H\/12"],"award-info":[{"award-number":["07\/775H\/12"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2014,7]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>To examine unrecognized nasolacrimal duct obstruction as a risk factor for developing endophthalmitis post\u2010cataract surgery in order to assess the value of preoperative lacrimal system screening.<\/jats:p><\/jats:sec>Design<\/jats:title>Prospective case\u2010control study.<\/jats:p><\/jats:sec>Participants<\/jats:title>A random sample of patients undergoing phacoemulsification cataract surgery (control group) and a consecutive series of patients admitted to our hospital with post\u2010cataract surgery endophthalmitis.<\/jats:p><\/jats:sec>Methods<\/jats:title>We compared the rate of nasolacrimal duct obstruction in the control group versus<\/jats:italic> the endophthalmitis series. Both groups underwent nasolacrimal duct syringing with normal saline on the ipsilateral side to the surgery. A standard macro\u2010dacryocystogram was performed to confirm for obstruction detected on syringing.<\/jats:p><\/jats:sec>Main Outcome Measures<\/jats:title>Nasolacrimal duct obstruction rate.<\/jats:p><\/jats:sec>Results<\/jats:title>Forty\u2010four eyes from 39 patients were included in this study: 34 eyes from 29 patients formed the control group and 10 eyes from 10 patients formed the endophthalmitis group.<\/jats:p>A higher rate of nasolacrimal duct obstruction was found among patients who developed endophthalmitis post\u2010cataract in comparison with the control group, on both nasolacrimal duct syringing (50.0% vs.<\/jats:italic> 11.8%; P<\/jats:italic>\u2009=\u20090.018) and macro\u2010dacryocystogram (20.0% vs.<\/jats:italic> 2.9%, P<\/jats:italic>\u2009=\u20090.125). Two out of the three patients with radiologically confirmed nasolacrimal duct obstruction reported a long history of epiphora.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The higher rates of obstruction on nasolacrimal duct syringing and macro\u2010dacryocystogram among patients who developed endophthalmitis suggest that nasolacrimal duct obstruction is a significant risk factor for postoperative endophthalmitis. We recommend routine screening for symptoms and examination of the lacrimal system prior to cataract surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12244","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:07:06Z","timestamp":1381543626000},"page":"447-451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Nasolacrimal duct screening to minimize post\u2010cataract surgery endophthalmitis"],"prefix":"10.1111","volume":"42","author":[{"given":"Jonathan K","family":"Kam","sequence":"first","affiliation":[{"name":"Royal Victorian Eye and Ear Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas M","family":"Cheng","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Sarossy","sequence":"additional","affiliation":[{"name":"Royal Victorian Eye and Ear Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penelope J","family":"Allen","sequence":"additional","affiliation":[{"name":"Royal Victorian Eye and Ear Hospital Melbourne Victoria Australia"},{"name":"Centre for Eye Research Australia University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne MV","family":"Brooks","sequence":"additional","affiliation":[{"name":"Royal Victorian Eye and Ear Hospital Melbourne Victoria Australia"},{"name":"Centre for Eye Research Australia University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.11.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.10.041"},{"key":"e_1_2_6_4_1","first-page":"60","article-title":"Unraveling the mystery of endophthalmitis","volume":"15","author":"Abelson MB","year":"2008","journal-title":"Review of Ophthalmology"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.3928\/0191-3913-19901101-03","article-title":"Postoperative endophthalmitis in children following cataract surgery","volume":"27","author":"Good WV","year":"1990","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1177\/014107688607900907","article-title":"Incidence of conjunctival colonization by bacteria capable of causing postoperative endophthalmitis","volume":"79","author":"Walker CB","year":"1986","journal-title":"J R Soc Med"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)80013-3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)71744-1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3928\/0191-3913-19920501-04","article-title":"Endophthalmitis following pediatric intraocular surgery for congenital cataracts and congenital glaucoma","volume":"29","author":"Wheeler DT","year":"1992","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-199502000-00005"},{"key":"e_1_2_6_11_1","first-page":"211","article-title":"Evaluation of the role of syringing prior to cataract surgery","volume":"45","author":"Thomas R","year":"1997","journal-title":"Indian J Ophthalmol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1998.47"}],"container-title":["Clinical & Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fceo.12244","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.12244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T02:36:52Z","timestamp":1696300612000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ceo.12244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,29]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1111\/ceo.12244"],"URL":"https:\/\/doi.org\/10.1111\/ceo.12244","archive":["Portico"],"relation":{},"ISSN":["1442-6404","1442-9071"],"issn-type":[{"value":"1442-6404","type":"print"},{"value":"1442-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,29]]},"assertion":[{"value":"2013-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-10-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}