Suresh BK Rasaily

(Rapti Eye Hospital)

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1. Rasaily s*
2. limbu b and saiju r

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External dacryocystorhinostomy; endonasal dacryocystorhinostomy; success; failure; complication

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External vs. endonasal endoscopic dacryocystorhinostomy: surgical success and patient satisfaction

Author : Rasaily s*, limbu b and saiju r

Keyword : External dacryocystorhinostomy; endonasal dacryocystorhinostomy; success; failure; complication

Subject : Ophthalmology

Article Type : Original article (research)

DOI : 10.4172/2324-8599.1000225

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Abstract : Introduction: The aim of study was to compare and analyze surgical success and patient satisfaction in doing external dacryocystorhinostomy and endonasal endoscopic dacryocystorhinostomy for the management of primary acquired nasolacrimal duct obstruction at tertiary care referral hospital in Kathmandu, Nepal. Methods: Hospital based prospective, comparative, nonrandomized, interventional study. A total of 70 patients, 36 patients (36 eyes) in external DCR group and 34 patients (36 eyes) in endoscopic DCR group, diagnosed as primary nasolacrimal duct obstruction (PANDO) meeting inclusion criteria were enrolled in the study from 1st June 2015 to 30 May 2016 with additional 6 months and consecutive six months follow up were observed for all patients. Postoperative symptomatic improvement and patency of lacrimal passage on syringing were analysed in each follow up. The success was defined by both symptomatic improvement and patent lacrimal passage on syringing at 6 months after surgery. Intraoperative and postoperative complications were also evaluated. Patient satisfaction and quality of life were analysed using Glasgow Benefit Inventory Questionnaire. Statistical analysis was done using IBM SPSS 21 version software programme. The pvalue< 0.05 was considered statistically significant. Results: Total of 72 DCR surgeries (36 in each group) were performed in 70 primary NLDO patients including 2 bilateral endoscopic DCR. Mean age of presentation in external DCR was 45.17 years ± 6.05 SD (range, 21–61 years) whereas in endoscopic DCR group was 31.28 years ± 10.54 SD (range, 15-41 years). Female preponderance was seen in both groups (F: M=27: 9 in Ex-DCR group and 28:6 in En-DCR). Overall, success rate is 95.83% (n=69 out of 72). Intergroup success rate was almost similar in both groups (Ex-DCR 35/36, 97.22% and En-DCR 34/36, 94.44% and p value=1.00). The mean total score from GBI was 46.60 ± 10.61 (95% CI, 22.22-75) and 62.89 ± 18.03 (95% CI, 22.22-91.67) in Ex-DCR and En-

Article by : Suresh BK Rasaily

Article add date : 2020-10-22


How to cite : Rasaily s*, limbu b and saiju r. (2020-October-22). External vs. endonasal endoscopic dacryocystorhinostomy: surgical success and patient satisfaction. retrieved from https://www.openacessjournal.com/abstract/311