Change in quality of life of patients undergoing silicone stent intubation for nasolacrimal duct stenosis combined with dry eye syndrome

Oh, Jong Rok; Chang, Jee Ho; Yoon, Jin Sook; Jang, Sun Young

doi:10.1136/bjophthalmol-2014-306496

Cited by 15 publications

(11 citation statements)

References 22 publications

(19 reference statements)

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“…It was originally validated for use in otorhinolaryngological patients and although its use in ptosis surgery has been reported, [30][31][32] validity data in the currently studied population is limited. Despite the risk of response bias inherent in its design, the GBI is a generic and translatable instrument that can measure both positive and negative impact (scored from +100 to − 100) across a range of procedures; 32,33 it has been shown to correlate with both markers of surgical success [34][35][36] and quality of life. 37 The positive score of +21.8 is comparable with previous reports for ptosis surgery, with mean total scores consistently between +21 and +25, adding some support for its reliability in this population.…”

Section: Discussionmentioning

confidence: 99%

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Schulz

Nicholson

Penwarden

et al. 2017

Eye

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PurposeAnterior approach white line advancement presents a novel surgical option for correction of blepharoptosis. The technique draws on several advantages of other approaches. The aim of this study was to present outcomes using this technique at a minimum follow-up of 18 months.Patients and methodsParticipants having undergone anterior approach white line advancement ptosis correction at a single institution were retrospectively recruited at a minimum of 18 months' follow-up. A total of 18 independent eyelid measurements were recorded at final review. Outcomes included long-term rate of surgical success, upper eyelid margin-reflex distance (MRD1) at both early and late post-operative follow-up, inter-eyelid asymmetry, complications, re-operation rate, patient satisfaction, and quality-of-life improvement using the Glasgow Benefit Inventory (GBI). Pre- and post-operative MRD1, as well as inter-eyelid asymmetry, were compared using a two-tailed t-test.ResultsIn total, 82 eyelids of 47 participants were included with a mean follow-up of 2.3 years (range 1.5-3.7). Surgical success was achieved in 91.5%, with a final mean MRD1 of 3.5 mm (95% confidence 3.2-3.7). An increase of 2.4 mm (2.1-2.8) in eyelid height was observed between baseline and long-term follow-up (P<0.0001). No significant change was observed between early and late post-operative follow-up. Pre-operative asymmetry was reduced from 1.0 mm (0.7-1.3) to 0.4 mm (0.3-0.5; P<0.0001). Patient satisfaction was 95.7% with a mean GBI score of +21.8 (13.2-30.3).ConclusionsAnterior approach white line advancement presents an excellent option for patients undergoing ptosis correction with favourable long-term results. Comparisons are made with other techniques with respect to anatomical, functional, and surgical factors.

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Section: Discussionmentioning

confidence: 99%

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Schulz

Nicholson

Penwarden

et al. 2017

Eye

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“…Epiphora is the most frequent symptom of PANDO. It causes vision impairment and eyelid irritation problems [14][15][16][17]. DCR is the main treatment of an option for epiphora in patients with obstruction distal to the common canaliculus [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Success Between External and Endonasal Dacryocystorhinostomy in Primary Acquired Nasolacrimal Duct Obstruction in Turkish Cohort

Karasu¹

2020

North Clin Istanbul

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Comparison of success between external and endonasal dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction in turkish cohort Orıgınal Article OPHTHALMOLOGY Cite this article as: Karasu B, Kiray G, Eris E, Perente I, Celebi ARC. Comparison of success between external and endonasal dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction in turkish cohort. North Clin Istanb UNCORRECTED PROOF D acryocystorhinostomy (DCR) is the standard procedure for primary acquired nasolacrimal duct obstruction (PANDO) for many years. It provides an alternative way to drain the lacrimal sac along the nasal cavity for tear and bypass the nasolacrimal duct. This process can be done either endoscopic or external approach. The external DCR technique was firstly introduced in 1904 [1] and was subsequently regenerated [2] by the ABSTRACT OBJECTIVE: To evaluate the results and recurrence rates of external and endonasal dacryocystorhinostomy (DCR) surgery in patients with primary acquired nasolacrimal duct obstruction (PANDO) in Turkish Cohort. METHODS: Medical records were reviewed in all patients who underwent surgery for PANDO between January 2010 to September 2014 in a tertiary university hospital retrospectively. The patients were followed up on the first day, 1 st month, 3 rd month and 6 th month postoperatively. Lacrimal drainage system and recurrence rates were recorded. RESULTS: The study was carried out in 81 patients, 27 of whom were men (33.3%) and 54 were women (66.7%). Mean follow up time was 30.13±16.42 months (range 6-62 months). The mean age was 50.51±12.47 years (range 16 to 77 years). External DCR was used in 44 (66.7%) of the cases and endonasal DCR was used in 37 (45.7%) of the cases. Surgical results of DCR were divided into 3 groups based on the integrity and openness of lacrimal drainage pathway in all PANDO patients. Operation success rates of these data revealed that 45 (55.6%) cases were recorded as successful, 20 (24.7%) of the cases were accepted as partially successful and 16 (19.8%) of the cases were deemed as unsuccessful. Based on these data, surgical success rates were found in 38 (86.4%) patients in external DCR and 27 (73%) patients in endonasal DCR. Surgical failure rates were 6 (13.6%) in external DCR and 10 (27%) in endonasal DCR. There was no statistically significant difference between success rates and recurrences in both groups (p>0.05). CONCLUSION: Endoscopic DCR produced a simple, minimal invasive and preferable results compared to external DCR in Turkish population. Although the success of external DCR is higher and the recurrence is lower than endoscopic DCR, with the outcomes of this study, endoscopic DCR can be tried as the first choice to protect the patient from major surgery and anesthesia in PANDO.

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“…In patients with lacrimal duct obstruction, the function of tear drainage is basically "lost" [15,16]. When such patients undergo endoscopic dacryocystorhinostomy, it can be inferred that due to the "recovery" of drainage function, the TMH of these patients should all show a decreasing trend.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

Sha¹,

Zheng²,

Zhang³

et al. 2020

Preprint

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BackgroundWe aimed to analys and explore the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy (EN-DCR).MethodsA series of case studies was reviewed. The clinical data of 104 patients (120 eyes) who underwent EN-DCR in our hospital from March 2019 to October 2019 were selected for the study. The tear meniscus height (TMH) and the Schirmer I test (SIt) values were compared preoperatively and 1 month and 3 months postoperatively and statistically analysed by Mauchly's test of sphericity and the Pearson correlation coefficient.ResultsThe TMH decreased across all 3 timepoints, and the differences were statistically significant (P<0.05). The TMH values were measured 3 times in 120 eyes and showed three patterns: increased steadily (34 eyes), descended first and then ascended (32 eyes), and decreased steadily (54 eyes); the changes in the three patterns were statistically significant (P<0.05). There were a significant increases in SIt values among the three timepoints, and the SIt values gradually increased when the SIt values were < 10 mm/5 min preoperatively. However, there was no significant difference in SIt values when the SIt values were ≥ 10 mm/5 min preoperatively. The TMH was highly correlated with the SIt value preoperatively (r = 0.763), moderately correlated at 1 month postoperatively (r = 0.515), and not correlated at 3 months postoperatively (r = 0.097).ConclusionsEN-DCR has a certain degree of influence on the tear system, which is not only reflected in the tear drainage system, but also in the tear secretion system and the interaction between the two systems; however, excess tear drainage, can also alleviate dry eyes.Funding programmeJoint Fund Project of Hubei Provincial Health Select Committee (No. WJ2019H318); General Key Projects of Medical Research in Wuhan City, Hubei Province (No. WX19A03)

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Change in quality of life of patients undergoing silicone stent intubation for nasolacrimal duct stenosis combined with dry eye syndrome

Abstract: SI could be an effective treatment option for reflex tearing in patients diagnosed with dry eye syndrome and nasolacrimal duct stenosis.

Cited by 15 publications

References 22 publications

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Comparison of Success Between External and Endonasal Dacryocystorhinostomy in Primary Acquired Nasolacrimal Duct Obstruction in Turkish Cohort

Analysis of the changes in the lacrimal system before and after endoscopic dacryocystorhinostomy

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