Fluorescein Dye Disappearance Test

Kashkouli, Mohsen Bahmani; Mirzajani, Hoora; Jamshidian-Tehrani, Mansooreh; Shahrzad, Sahab; Sanjari, Mostafa Soltan

doi:10.1097/iop.0000000000000308

Cited by 12 publications

(5 citation statements)

References 17 publications

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“…The accuracy of a diagnostic test is given by the sensitivity, specificity, positive, and negative predictive values rates. 6 Comparing endoscopic Jones I test with ABT in the assessment of anatomical and functional success rates, the authors found similar PPV rates (both 100% in anatomical success; 88% Jones I test, and 90.4% ABT in functional success). These outcomes may indicate that ABT could substitute Jones I test on postoperative DCR assessment.…”

Section: Discussionmentioning

confidence: 93%

“…However, it has been associated with some discomfort, pain, difficulty to perform in children, and some patients do not cooperate with the test. 6,10 Functional success is usually assessed using Munk criteria; Munk 0 or 1 may indicate favorable outcomes. 22 In 1961, Jones described a simple test of lacrimal drainage function that becomes one of the most used procedures to evaluate epiphora.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The irrigation test can cause some discomfort, pain, and potentially punctum-canalicular damage. 6 The primary Jones dye test (Jones I test) is a true functional test and should be carried out in as nearly physiologic conditions as possible. A positive Jones I test usually indicates both anatomical and functional success; nevertheless, a negative Jones I test does not necessarily indicate anatomical failure; however, it would indicate functional failure.…”

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confidence: 99%

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Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Feijó

Caixeta

Matayoshi

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To compare the accuracy and positive predictive values of the air bubble test (ABT) and endoscopic Jones I test for assessment of anatomical and functional success after diode laser transcanalicular dacryocystorhinostomy (T-DCR). Methods: This cross-sectional study included 60 eyes of 56 patients who underwent T-DCR by a single surgical team from January 2016 to December 2018. All the 56 patients (60 eyes) underwent lacrimal syringing, endoscopic Jones I test, and ABT. Anatomical success was considered as a free passage of fluid with no reflux on the irrigation test. Functional success was defined as the resolution or improvement of epiphora (Munk score of 0 or 1). The results of irrigation test, endoscopic Jones I test, and ABT were used to calculate the accuracy and positive predictive values (PPVs) of ABT and endoscopic Jones I test for assessment of anatomical and functional success (Munk score of 0 or 1) after T-DCR. A value of p < 0.05 was considered statistically significant. All statistical evaluations were performed using SPSS software. Results: There were 60 T-DCR procedures in 56 patients (82.1% women; 46 patients) with a mean age of 56.4 years (standard deviation: 15.7; range from 29 to 92). The mean follow up was 8.1 months. Overall anatomical and functional success rates were 83.3% (50/60) and 73.3% (44/60), respectively. The PPV of endoscopic Jones I test in anatomical success and functional success was 100% and 88%, respectively. The accuracy of this test in anatomical and functional success was 100% and 81.25%, respectively. The PPV of ABT in anatomical success and functional success was 100% and 90.4%, respectively. The accuracy of this test in anatomical and functional success was 92% and 80.65%, respectively. Conclusions: In conclusion, both endoscopic Jones I test and ABT showed PPV of 100% to detect anatomical success after T-DCR; the endoscopic Jones I test and ABT had 88% and 90.4% of PPV on evaluation of functional success, respectively. Both tests showed good accuracy in the assessment of anatomical and functional success after T-DCR. These outcomes may indicate that ABT could substitute Jones I test on postoperative DCR assessment.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Feijó

Caixeta

Matayoshi

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Failure has, on average, been reported in less than 10% of the patients with previous DCR procedure, and further investigation is required in order to find out the reason. 9 , 10 Endoscopy (nasal endoscopy and or dacryoendoscopy) could be an important tool for such an investigation, similar to preoperative assessment of the LDS. More importantly, it is considered the best option for revision surgery because of direct observation of the ostium and addressing the nasal cavity problems.…”

Section: Lacrimal Drainage Systemmentioning

confidence: 99%

Endoscopy in the field of oculo-facial plastic surgery

Kashkouli

Beigi

2018

Journal of Current Ophthalmology

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“…Functional failure after Dacryocystorhinostomy (DCR) results when patients persist to have symptoms of epiphora or discharge even though there is a patent Nasolacrimal duct (NLD) by irrigation test. DCR is a surgical procedure that involves the formation of a shunt for drainage of tears between the lacrimal sac and the nasal cavity, bypassing the NLD [1,2]. Dacryocystorhinostomy is a standard surgical intervention meant to treat blocked nasolacrimal ducts of nearly all causes.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated and Management of Functional Failure after External Dacryocystorhinostomy at Zonal Tertiary Hospital

Mashamba

Musheiguza

Makupa

2020

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Aims: To determine factors associated and management of functional failure after Dacryocystorhinostomy among patients attending the eye department at KCMC hospital Moshi Kilimanjaro, from January 2007 to July 2018. Study Design: A retrospective cross-section hospital-based study. Place and Duration of Study: Conducted at Eye Department Kilimanjaro Christian Medical Centre Hospital, between August 2018 and August 2019. Methodology: We recruited 184 patients who underwent external DCR surgery from January 2007 to July 2018. The analysis was done using STATA version 14. Chi-square was used to establish the difference in proportions across groups, multivariable logistic regression models were used to determine the associated factors for functional failure. The 95% confidence intervals were constructed; associations were considered to be statistically significant when a P-value was less than 0.05. Results: Out of 184 external DCR done, 37 (20.1%) had functional failure, 174 (94.6%) attained anatomical success while147 (79.9%) attained functional success. Fifty-one (27.4%) of cases had a primary function failure, of this 50% was managed by probing and irrigation. Functional failure was associated with postoperative complications (AOR=10.58 (95% CI: 2.24 - 49.88). Conclusion: Functional failure after external Dacryocystorhinostomy was 20.1%, the anatomical success of external DCR was 94.6% and functional success was 79.9% in our study. The strongest associated factors for functional failure were a post-operative complication and increased age. Therefore, careful post-operative follow-up after DCR procedure should be emphasized to lacrimal surgeons. On the other hand, external DCR remains the surgical management options with good success.

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Fluorescein Dye Disappearance Test

Abstract: All anatomically failed DCR showed a positive FDDT (100% sensitivity) in this series. The proposed paradigm offers a less invasive approach to post-DCR epiphora.

Cited by 12 publications

References 17 publications

Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Endoscopy in the field of oculo-facial plastic surgery

Factors Associated and Management of Functional Failure after External Dacryocystorhinostomy at Zonal Tertiary Hospital

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