Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation
Purpose. We evaluated the tolerability and efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in patients treated in the leaning position and under local anesthesia with minimal sedation (LAS). Study Design. Questionnaire to determine subjective success of Endo-DCR. Methods. From May 2013 to Au...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2017/6712491 |
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| author | Woong Chul Choi Ji-Sun Paik Sang Hee Doh |
| author_facet | Woong Chul Choi Ji-Sun Paik Sang Hee Doh |
| author_sort | Woong Chul Choi |
| collection | DOAJ |
| description | Purpose. We evaluated the tolerability and efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in patients treated in the leaning position and under local anesthesia with minimal sedation (LAS). Study Design. Questionnaire to determine subjective success of Endo-DCR. Methods. From May 2013 to August 2014, a total of 95 eyes with epiphora presented to the Myoung Eye Plastic Surgery Clinic in Seoul, Korea, and were treated with Endo-DCR under LAS. Three nerve blocks were administered to achieve local anesthesia. Postoperatively, the wound site was packed with Nasopore to control bleeding and promote wound healing. Outcome measures included a patient questionnaire completed on postoperative day 7 to evaluate intraoperative and postoperative pain based on the VAS (0 to 10). Results. Mean intraoperative and postoperative pain scores were 1.03 and 1.64, respectively, for 95 eyes. Of the 95 eyes treated, the patients in 82 eyes (86.31%) reported that they would prefer LAS over GA for a repeat Endo-DCR. The subjective and objective surgical success rates were 90.14% and 95.77%, respectively. Conclusions. Endo-DCR carried out under LAS with the patient in the leaning position is more useful, efficient, and feasible than Endo-DCR performed under GA with the patient in the supine position. |
| format | Article |
| id | doaj-art-c246fc83cc6040f582a72cd667967f5a |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-c246fc83cc6040f582a72cd667967f5a2025-02-03T05:58:42ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/67124916712491Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal SedationWoong Chul Choi0Ji-Sun Paik1Sang Hee Doh2Myoung Eye Plastic Surgery Clinic, SH Tower 3rd Floor, Gangnam Gu, Nonhyeon Dong, Seoul 278-22, Republic of KoreaDepartment of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Ophthalmology and Visual Science, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaPurpose. We evaluated the tolerability and efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in patients treated in the leaning position and under local anesthesia with minimal sedation (LAS). Study Design. Questionnaire to determine subjective success of Endo-DCR. Methods. From May 2013 to August 2014, a total of 95 eyes with epiphora presented to the Myoung Eye Plastic Surgery Clinic in Seoul, Korea, and were treated with Endo-DCR under LAS. Three nerve blocks were administered to achieve local anesthesia. Postoperatively, the wound site was packed with Nasopore to control bleeding and promote wound healing. Outcome measures included a patient questionnaire completed on postoperative day 7 to evaluate intraoperative and postoperative pain based on the VAS (0 to 10). Results. Mean intraoperative and postoperative pain scores were 1.03 and 1.64, respectively, for 95 eyes. Of the 95 eyes treated, the patients in 82 eyes (86.31%) reported that they would prefer LAS over GA for a repeat Endo-DCR. The subjective and objective surgical success rates were 90.14% and 95.77%, respectively. Conclusions. Endo-DCR carried out under LAS with the patient in the leaning position is more useful, efficient, and feasible than Endo-DCR performed under GA with the patient in the supine position.http://dx.doi.org/10.1155/2017/6712491 |
| spellingShingle | Woong Chul Choi Ji-Sun Paik Sang Hee Doh Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation Journal of Ophthalmology |
| title | Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation |
| title_full | Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation |
| title_fullStr | Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation |
| title_full_unstemmed | Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation |
| title_short | Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation |
| title_sort | results of endoscopic dacryocystorhinostomy under local anesthesia with minimal sedation |
| url | http://dx.doi.org/10.1155/2017/6712491 |
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