{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:35Z","timestamp":1786649795890,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"\n This article describes a technique of dacryocystectomy involving dissection within the subfascial plane, in which the lacrimal sac fascia is preserved and the orbital fat remains undisturbed. The lacrimal sac cavity was directly injected with Tisseel fibrin glue mixed with trypan blue. This led to sac distension and facilitated its separation from surrounding periosteal and fascial attachments. Staining the lacrimal sac epithelium improved definition of the mucosal lining. Transverse sections of the lacrimal sac specimen were histologically analyzed, which confirmed that dissection was completed within a subfascial plane. The technique herein described facilitates\n en bloc<\/jats:italic>\n excision of the lacrimal sac without breaching the fascial plane that separates the sac from orbital fat.\n <\/jats:p>","DOI":"10.4103\/ijo.ijo_2667_22","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T03:30:14Z","timestamp":1684294214000},"page":"2260-2262","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Dacryocystectomy: A fibrin glue-assisted subfascial excision"],"prefix":"10.4103","volume":"71","author":[{"given":"Jessica Y","family":"Tong","sequence":"first","affiliation":[{"name":"South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia"},{"name":"Department of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Selva","sequence":"additional","affiliation":[{"name":"South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia"},{"name":"Department of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1097\/IOP.0000000000000269","article-title":"Dacryocystectomy:Goals, indications, techniques and complications","volume":"30","author":"Ali","year":"2014","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/00002341-199709000-00010","article-title":"Dacryocystectomy:Surgical indications and results in 25 patients","volume":"13","author":"Mauriello","year":"1997","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R3-20251006","first-page":"443","article-title":"Dacryocystectomy for the treatment of dacryocystitis patients with Wegener's granulomatosis","volume":"20","author":"Holds","year":"1989","journal-title":"Ophthalmic Surg"},{"key":"R4-20251006","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/01676839409071467","article-title":"The use of fibrin tissue adhesive as an aid to dacryocystectomy","volume":"13","author":"Rowson","year":"1994","journal-title":"Orbit"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"158","DOI":"10.3109\/01676830.2011.556304","article-title":"A novel technique to facilitate dacryocystectomy using viscoelastic substances","volume":"30","author":"Baddeley","year":"2011","journal-title":"Orbit"},{"key":"R7-20251006","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1002\/ca.1074","article-title":"The lacrimal fascia redefined","volume":"14","author":"Shinohara","year":"2001","journal-title":"Clin Anat"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/BF01798870","article-title":"New concepts of the anatomy of the lacrimal apparatus","volume":"5","author":"Ritleng","year":"2005","journal-title":"Anat Clin"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s002660010121","article-title":"An anatomical study of the medial canthus using a three-dimensional model","volume":"25","author":"Yamamoto","year":"2001","journal-title":"Aesthetic Plast Surg"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jtos.2020.07.013","article-title":"New insights into the lacrimal pump","volume":"18","author":"Ali","year":"2020","journal-title":"Ocul Surf"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2667_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:58:28Z","timestamp":1786647508000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2667_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2667_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2022-10-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}