External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis

Rabina, Gilad; Golan, Shani; Neudorfer, Meira; Leibovitch, Igal

doi:10.1155/2013/287524

Cited by 20 publications

(21 citation statements)

References 14 publications

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“…In this study 55.5% of the patients had had a previous episode of dacryocystitis; there was no significant difference in the success rate of external DCR in patients with or without a previous episode of dacryocystitis. These findings are consistent with other studies in the literature [ 21 ].…”

Section: Discussionsupporting

confidence: 94%

Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques

Alnawaiseh¹,

Mihailovic²,

Wieneke³

et al. 2016

Journal of Ophthalmology

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Purpose. This study aimed to evaluate long-term results of external dacryocystorhinostomy (DCR) at a tertiary eye care center specializing in lacrimal duct surgery in Germany. Methods. The medical records of 1010 patients with acquired nasolacrimal duct obstruction (NLDO), who had undergone lacrimal duct surgery at a tertiary eye care center, were reviewed. Only adult patients who had undergone external DCR were included. The evaluation included the following parameters: age, gender, duration of symptoms, patient satisfaction, previous dacryocystitis, complication rates, and surgical outcome. Results. 154 eyes of 146 patients (14.5%) could be included in the study. The average age was 64.1 ± 29.7 years. 66.4% of patients were females and 33.6% were males. Acute or chronic dacryocystitis was found in 81 patients (55.5%). Overall, 82.8% of patients had full resolution of symptoms. The success rate of external DCR for patients with previous episodes of dacryocystitis was 82.7% compared to 83.4% for patients without dacryocystitis in their medical history. Conclusion. In cases in which transcanalicular microendoscopic techniques are contraindicated (e.g., after dacryocystitis) or in complex cases where microendoscopic procedures have failed (revision surgery), external DCR is still the surgical treatment of choice with very good postoperative success.

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Section: Discussionsupporting

confidence: 94%

Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques

Alnawaiseh¹,

Mihailovic²,

Wieneke³

et al. 2016

Journal of Ophthalmology

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“…Similar results were seen by Yoon et al 12 in their study. Left sided obstruction was more common than right sided, which is in harmony with the study conducted by Ivanesi et al, 13 Prakash et al 14 and Gilad et al 8 This may be due to the smaller nasolacrimal bony canal in females. Also, it has been found that the nasolacrimal duct and lacrimal fossa form a greater angle on right side than the left side.…”

Section: Discussionsupporting

confidence: 88%

“…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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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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“…In a case series of 152 patients with NLDO who underwent EDCR, previous episodes of DC were observed in 60 patients (19 males and 41 females) and the mean age was 67±15 years 18. Lee-Wing et cols found 118 females and 48 males and the mean age was 60.7 years (range, 21–93 years) 19.…”

Section: Discussionmentioning

confidence: 96%

<p>Comparative study of the clinical profile of chronic dacryocystitis and chronic rhinosinusitis after external dacryocystorhinostomy</p>

Soriano

Damasceno

Neto

et al. 2019

OPTH

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Purpose To compare the clinical profile of patients with chronic dacryocystitis (CDC) with and without associated chronic rhinosinusopathies who had been submitted to external dacryocystorhinostomy (EDCR). Methods This was a retrospective, observational, and longitudinal study that included all patients diagnosed with CDC who were submitted to EDCR at the Antonio Pedro University Hospital. Patients were divided into two groups, with and without rhinosinusopathies (Group I and Group II, respectively). The following variables were assessed to compare the Group I and Group II: age, ethnicity, epiphora, discharge by expression of the lacrimal sac, duration of the CDC, and previous history of CDC exacerbation. Results The study included a total of 78 patients, 22 patients (28.2%) in Group I and 56 patients (71.8%) in Group II. The mean age was 64.3 (±19.7) years. In Group I and II predominated elderly, female, and White ( p =0.93, p =0.38, p =0.77). In relation to the clinical characteristics, most of the patients presented epiphora and discharge by compression of the lacrimal sac in both Groups ( p =0.61, p =0.44). In relation to a previous history of exacerbations of the CDC, six patients in Group I and four patients in Group II presented it as purulent discharge ( p =0.04). Conclusion Chronic rhinosinusopathies may favor episodes of exacerbations of chronic dacryocystitis in particular with the presence of purulent discharge.

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External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis

Cited by 20 publications

References 14 publications

Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques

Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

<p>Comparative study of the clinical profile of chronic dacryocystitis and chronic rhinosinusitis after external dacryocystorhinostomy</p>

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