Does complete excision of posterior remnant tissue improves surgical outcome in modified single anterior flap external dacryocystorhinostomy?
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 2
Abstract
Purpose This study aims to analyze the impact of complete excision of posterior remnant tissue ExPRT on outcome of modified single anterior flap external dacryocystorhinostomy mSAFEDCRMaterials and Methods We analyzed records of all patients who had undergonemSAFEDCR with complete ExPRT between August 2014 and October 2016 We also noted operative time complications and surgical outcome of these patientsResults Fortyone patients had undergone mSAFEDCR with complete ExPRT Average surgical time was 36 minutes range 28 to 50 The most common complications were intraoperative bleeding in four cases and torn sac flap in two cases laceration of nasal mucosa in one case and extension of skin incision in one case Followup was done at tenth day and one month postoperatively There was complete absence of watering in 36 patients and occasional watering in five patients Tear meniscus height was normal for all patients Syringing was patent in all 41100 patients Hence both subjective and objective success rates were 100Conclusions Our series of cases mSAFEDCR demonstrated 100 success rate which may be attributed to complete ExPRT Our study also indicates that mSAFEDCR is technically easier and time saving and should be preferred over conventional EDCR The complications related to flap damage are also more easily manageable in mSAFEDCR than conventional EDCR These results also prompt future research to assess complete ExPRT during mSAFEDCR surgeryKeywords Dacryocystitis Epiphora Lacrimal Lacrimation Nasolacrimal duct
Authors and Affiliations
Bhagwati Wadwekar
Keywords
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- EP ID EP474217
- DOI 10.18231/2395-1451.2018.0050
- Views 88
- Downloads 0
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