Comments on: Central serous chorioretinopathy after dacryocystorhinostomy operation on the same side

Roy, Parthasarathi

doi:10.4103/0301-4738.60071

Cited by 1 publication

(2 citation statements)

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“…Control of intraoperative bleeding during DCR is of utmost importance as bleeding may obscure the already narrow operative field, making recognition of the sac wall or nasal mucosa very difficult [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Topical combined tranexamic acid and epinephrine versus topical epinephrine in control of intraoperative bleeding of external dacryocystorhinostomy

Salamah,

Al Bialy,

Khairy

et al. 2023

Int Ophthalmol

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Purpose To compare the efficacy of gauze soaked with combined tranexamic acid (TXA) (100 mg/ml) epinephrine 1:200,000 versus gauze soaked with only epinephrine 1:200,000 used to guard against intraoperative bleeding in external Dacryocystorhinostomy (DCR). Patients and methods The study included 33 patients; only 30 patients fulfilled the inclusion criteria and were divided randomly into 2 groups using the random numbers table, with 15 patients in each group. The first group (Group A) was operated upon using gauze soaked with combined TXA (100 mg/ml) and epinephrine 1:200,000, while the second group (Group B) was operated upon using gauze soaked only with epinephrine 1:200,000. Results The amount of bleeding was significantly lower in group A (29.4 ± 17.1 ml) compared to group B (49.1 ± 18.1 ml), with a P value = 0.005. In addition, the number of used gauzes and total surgical time was significantly lower in group A compared to group B, with P value = 0.008 and 0.01 respectively. Conclusion External DCR using gauze soaked with combined TXA (100 mg/ml) and epinephrine 1:200,000 showed a significant reduction in the amount of intraoperative bleeding compared to gauze soaked with epinephrine 1:200,000 only. The reduction in the amount of bleeding with the addition of TXA resulted in clearer surgical field, shorter surgical time and more surgeon satisfaction.Query

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Section: Introductionmentioning

confidence: 99%

“…The amount of bleeding during external DCR varied in different studies but was reported between 3 and 25 ml [ 2 – 5 ]. The nasal mucosa was the most common source of bleeding in DCR surgery (76.1%), followed by the angular vein (13.6%), bones (6%), and muscles (4.3%) [ 6 ].…”

Section: Introductionmentioning

confidence: 99%