Effect of Timing of External Dacryocystorhinostomy on Surgical Outcome

Seider, Nir; Kaplan, Nir; Gilboa, Michael; Gdal-On, M; Miller, Benjamin; Beiran, Itzchak

doi:10.1097/iop.0b013e31804bdf0c

Cited by 19 publications

(17 citation statements)

References 7 publications

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“…The mean duration of symptoms was 2.7 years. Studies by Erdol 6 et al and Seider et al 7 suggest that duration of obstruction is a predictive factor for external DCR success rates with earlier surgery offering a greater chance of success.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

Kubravi¹,

Qureshi²,

Akbar³

et al. 2016

jemds

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BACKGROUNDTo study the pre-and post-operative characteristics and evaluate the surgical outcomes in patients undergoing external dacryocystorhinostomy for nasolacrimal duct obstruction with or without any previous episodes of dacryocystitis. MATERIALS AND METHODSThis hospital based study was carried out at the Postgraduate Department of Ophthalmology, Government Medical College, Srinagar. A series of 76 patients with nasolacrimal duct obstruction, who underwent external dacryocystorhinostomy were studied. The preoperative evaluation included the following parameters: age, gender, residence, occupation, duration of symptoms, history of previous dacryocystitis, previous DCR, side of obstruction and presence of any other diseases (Systemic or ocular). Patients were examined at 1 week, 1 month, 3 months and 6 months following surgery. Surgical success was determined by the postoperative patency on syringing and resolution of symptoms at the end of six months. Patient satisfaction and complication rates were also assessed. RESULTSOut of the 76 patients evaluated, 42 were females and 34 were males. The mean age of patients was 58.6±14 years. The mean duration of symptoms was 2.7 years. Left sided obstruction was more common (41 patients) than right-sided obstruction (33 patients).Bilateral obstruction was present in 2 patients; 30 patients had previous history of dacryocystitis, while 46 patients had no such history. The success rate was 88.4% for patients without previous history of dacryocystitis and 83.3% for patients with previous history of dacryocystitis. CONCLUSIONThe nasolacrimal duct obstruction is commoner in females than males in Kashmiri population. External dacryocystorhinostomy is an efficacious, safe and cost-effective treatment for the nasolacrimal duct obstruction. The surgical outcome is similar in patients with and without any previous history of dacryocystitis. The complication rate is low and overall patient satisfaction is high.

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Section: Discussionmentioning

confidence: 99%

“…2 Various studies conducted have shown that surgical success co-relates with factors like patient age, duration of obstruction and presence or absence of previous episodes of dacryocystitis. 6,7,8 The aim of this study was to evaluate the pre-and postoperative characteristics and surgical outcomes in patients who underwent DCR in our tertiary care centre. …”

mentioning

confidence: 99%

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

Kubravi¹,

Qureshi²,

Akbar³

et al. 2016

jemds

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“…Seideret al [1] found that patients who had longer lasting symptoms of chronic dacryocystitis had lower success rate. Main drawback of this study stems from the fact that information about the patient's disease was taken from their medical charts and the duration of epiphora was self-reported by the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Primary benefits of External DCR are that it is a faster and easier surgery to perform. The surgical success rate [1] was found to correlate with the duration of obstruction and patient's age. The success rate was lower when the obstruction lasted longer and the patient was younger.…”

Section: Introductionmentioning

confidence: 99%

“…According to our clinical experience, the success rate of DCR for patients with or without previous episode of chronic or acute dacryocystitis should be similar. Our current study presents series of patients with previous episodes of chronic dacryocystitis who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) and compare their pre-operative characteristics, postoperative outcome and surgical success rate [1] .…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Chronic Dacryocystitis and Surgical Outcome of External dacryocystorhinostomy in and Around Moradabad

Mehrotra¹,

Chauhan²

2017

AIMDR

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Background: External DCR is the standard treatment for NLDO with previous history of chronic dacryocystitis. Our current study presents series of patients with previous episodes of chronic dacryocystitis who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) and compare their pre-operative characteristics, post-operative outcome and surgical success rate. Methods: This hospital based prospective and interventional case series of 60 patients with chronic dacryocystitis due to nasolacrimal duct obstruction (NLDO) who were treated by means of external DCR was taken up for study. Surgery was done between June 2015 and December 2015 and the patients were followed up for next 6 months. Results: During the study period 60 patients with NLDO underwent external DCR of whom 38 (63.33%) were females and 22 (36.66%) were males. Mean age was 44. 93 ± 15 years. Chronic dacryocystitis due to NLDO was found in 50 patients (84%) while rest 10 (16%) had other reasons. An overall success rate of external DCR was 88.6% in patients with chronic dacryocystitis. Mean post operative follow up time was 180 days. Conclusion: No significant difference in the success rate of External DCR in patients with or without previous history of dacryocystitis.

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Endoscopic endonasal dacryocystorhinostomy: impact of long-standing disease on surgical outcomes

Pace,

Giombi,

Pirola

et al. 2024

Eur Arch Otorhinolaryngol

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Effect of Timing of External Dacryocystorhinostomy on Surgical Outcome

Abstract: In experienced hands, external DCR has good postoperative success with a low complication rate. Early DCR does not have a substantial advantage over late surgery with regard to surgical outcome.

Cited by 19 publications

References 7 publications

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

Frequency of Chronic Dacryocystitis and Surgical Outcome of External dacryocystorhinostomy in and Around Moradabad

Endoscopic endonasal dacryocystorhinostomy: impact of long-standing disease on surgical outcomes

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