Lacrimal excretory system sequelae in patients treated for leishmaniasis

Abstract

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 lei shmaniasis-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.