Anatomical And Functional Evaluation Of Conventional Vs Inferior Endoscopic Dacrocystorhinostomy In Cases Of Idiopathic Chronic Dacrocystitis
Aim: To compare the outcome of two techniques of endoscopic dacrocystorhinostomy (DCR) over a period of 3 months. Methods & Methods: Forty eyes of 40 adult patients diagnosed with chronic dacryocystitis were divided into two equal groups randomly. After relevant investigations, 20 patients under...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.262 |
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| Summary: | Aim:
To compare the outcome of two techniques of endoscopic dacrocystorhinostomy (DCR) over a period of 3 months.
Methods & Methods:
Forty eyes of 40 adult patients diagnosed with chronic dacryocystitis were divided into two equal groups randomly. After relevant investigations, 20 patients underwent conventional endoscopic dacrocystorhinostomy and 20 underwent inferior endoscopic dacrocystorhinostomy under transoral pterygopalatine block and topical lignocaine (4%) with adrenaline 1:2000. After three months of follow up, nasal endoscopy along with fluorescein dye disappearance test (FDDT) was performed.
Results:
Ninety five percent (19/20) of conventional endoscopic dacrocystorhinostomy patients and 90% (18/20) of inferior endoscopic dacrocystorhinostomy patients were found to have patent anatomical fistula on nasal endoscopy. FDDT after 10 minutes was positive in 84% patients (16/19) in group A and 94.4% patients (17/18) in group B. Inferior endoscopic DCR was found to be associated with less operative time (35-40 minutes) and lesser complications.
Conclusion:
Inferior endoscopic DCR is a promising technique with less post-operative complications and improved physiological lacrimal pump as compared to conventional endoscopic DCR. |
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| ISSN: | 0972-0200 2454-2784 |