Functional and cosmetic results of a lower eyelid crease approach for external dacryocystorhinostomy

Akaishi, Patrícia; Mano, Juliano Borges; Pereira, Ivana Cardoso; Cruz, Antônio Augusto Velasco e

doi:10.1590/s0004-27492011000400011

Cited by 16 publications

(15 citation statements)

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“…Karadayi and Ciftci also reference (as we did) the study of Zoumalan et al 4 on maintaining lower eyelid position with orbicularis suspension. Karadayi and Ciftci also reference (as we did) the study of Zoumalan et al 4 on maintaining lower eyelid position with orbicularis suspension.…”

Section: To the Editormentioning

confidence: 54%

Re

Karadayı¹,

Çiftçi²

2013

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Section: To the Editormentioning

confidence: 54%

Re

Karadayı¹,

Çiftçi²

2013

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…External DCR has long been the standard procedure for treatment of NLDO 1,2 . Although alternative techniques to the procedure, namely endonasal and endolaser DCR have been developed and have their own set of advantages and disadvantages, external DCR continues to be the gold standard 5,6,7,8 .…”

Section: Discussionmentioning

confidence: 99%

Cosmetic and Functional Results of External Dacryocystorhinostomy with the Subciliary Incision in a Tertiary Eye Care Hospital, Karachi.

Qidwai¹,

Dawood²,

Hussain³

et al. 2020

pak J Ophthalmol

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Purpose: To assess post-operative cosmetic and functional results of external Dacryocystorhinostomy with Subciliary incision in adults with primary naso lacrimal duct obstruction (NLDO). Study Design: Quasi experimental study. Place and Duration of Study: Oculoplasty clinic, Al Ibrahim Eye Hospital, Malir, from July 2016 to September 2017. Material and Methods: Hundred eyes of hundred patients were included. Inclusion criteria was all the patients between the ages of 20 to 70 years having epiphora with diagnosis of NLDO, chronic Dacryocystitis or Mucocele. Patients having ectropion or entropion of inferior punctum were excluded from the study. DCR with intubation was performed through Sub ciliary incision. Inner canthus was photographed with a Nikon D70S digital camera at 1, 3 and 6 months after surgery. Functional success was determined by subjective improvement in watering and patent drainage passage on syringing. Cosmetic result of the scar was assessed by subjective satisfaction of the patient and grading of the subciliary incision scar according to a four level scale by two ophthalmologists. SPSS version 20.0 was used to analyze the data. Result: DCR was done on 100 eyes in 100 patients. Functional and cosmetic success was noted in 90 (90%) eyes. 83 patients attained successful functional outcome, which was confirmed on syringing. On objective grading of the scars by ophthalmologist at the final follow up it was observed that 85 patients had invisible scar. Whereas, 2 had moderately visible scar and 3 patients had minimally visible scar. Subjective grading revealed 85 scars to be invisible, 2 moderately visible and 2 minimally visible. Conclusion: Post-operative cosmetic as well as functional results of subciliary incision in external Dacryocystorhinostomy were found to be highly encouraging.

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“…While they reported the scar as cosmetically acceptable, scar appearance was not officially graded. Using a similar approach with the incision placed in a relaxed skin tension line of the eyelid, Akaishi et al 30 reported that patients graded their scar on average between invisible and minimally visible at 6 months after surgery. Dave et al 21 studied the subciliary approach in 16 patients.…”

Section: Discussionmentioning

confidence: 99%