Patients undergoing dacryocystorhinostomy surgery in northern Iran: An epidemiologic study

Abstract

Background:Dacryocystorhinostomy (DCR) is widely accepted as the procedure of choice for surgical correction of lacrimal drainage system obstruction distal to common canaliculus in adulthood. Although, there are only limited epidemiological data available in Iran about the patients undergoing DCR surgery.Aim:This study was aimed to survey the demographic characteristics of patients received (DCR) surgery to achieve the newer information about these patients.Subjects and Methods:In this descriptive study, the demographic characters such as age, and gender, clinical findings, history of surgery, etc., extracted from archived files of the patients undergoing DCR surgery in educational and treatment center of Bu Ali Sina Hospital in Mazandaran. Data were entered into the SPSS software version 15 (Chicago, IL, USA) and analysis inferential analysis performed using t-test and Chi-square.Results:Among 40 under survey records 72.5% (29/40) were female and 27.5% (11/40) male. Patient's mean age was 48.22 (17.1). Fifty percent were from a rural area and there was a significant relationship between gender and dacryocystitis rate, it was high among female (P = 0.02(Most of the patients complained of tearing 87.5% (35/40) and recurrent attacks of acute dacryocystitis 70.3% (28/40), respectively. Conjunctivitis in 33.3% (13/40) of patients and chronic discharge was seen in 40% (16/40) of cases.Conclusion:Overall finding showed in comparisons of men with the females of middle age and above included higher cases of dacryocystitis. The authors suggest regarding high prevalence of sinusitis and allergies in Northern Iran, checking by ENT specialist is beneficial to exact diagnosis and programming for treatment of this kind of patients.

Investigating estrogen and progesterone receptors in the lacrimal sacs of individuals with and without chronic dacriocystitis

“…Chronic dacryocystitis is commonly seen in middle-aged women (5). The mean age of the cases in our study was 47.64±16.019 years, which was similar to the results of Yang and Majidaee (6). The age range was also similar.…”

A prospective study on epidemiology of dacryocystitis at a tertiary eye care center in Northern India

“…Many previous studies have noted a similar gender predilection. [ 9 10 11 12 ] A narrower bony nasolacrimal canal and hormonal factors in females have been proposed to be the plausible causes for this gender preponderance. [ 13 ]…”

“…Our study showed a more common involvement of left side (107; 50.47%) which is comparable with reports in literature. [ 12 ] This is probably because the NLD and the lacrimal fossa form a greater angle on the right than on the left side. [ 13 ]…”

“…Similar result was reported in literature. [ 12 ] These can be attributed to the fact that the majority of them came from the lower socioeconomic groups which can be correlated to poor ocular hygiene and knowledge of disease condition, less affordability to health care facilities, and exposure to lots and smokes while cooking using woods and cow dung cakes.…”

Indian survey on practice patterns of lacrimal & eyelid disorders (iSUPPLE): Report 3 – Cataract and nasolacrimal duct obstruction

“…It is not uncommon to encounter a patient without any complaints of watering, harboring an asymptomatic NLDO. The reported mean age of patients presenting with symptomatic acquired lacrimal outflow obstruction ranges from 48 to 59.5 years 3, 4, 5. Given this demographic data, it is quite probable that a significant proportion of these patients with NLDO in this age group may also have cataract-related visual impairment.…”