External vs endonasal dacryocystorhinostomy - A comparative study
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 7, Issue 3
Abstract
Aim: To compare external and endonasal dacryocystorhinostomy (DCR) and to assess the surgical outcome and comfort levels of the patient in terms of pain and edema in the immediate post operative period. Materials and Methods: A prospective study was carried out on 100 patients, of whom 52 underwent external dacryocystorhinostomy and 48 underwent endonasal dacryocystorhinostomy at a tertiary care centre over a span of one year. 72 females and 28 males in the age group 18-55 were included in this study. All were diagnosed as dacryocystitis and all were primary DCRs The diagnosis of dacryocystitis was made clinically by the regurgitation test and lacrimal syringing test. Slit lamp examination was done to exclude diseases of the anterior segment. A Schirmers test to rule out dry eye, a diagnostic nasal endoscopy, hemogram, blood sugar, bleeding and clotting time, X-ray lacrimal sac region and Blood pressure recording were done. Results and Conclusion: Females had a higher incidence of dacryocystitis, when compared to males. Endonasal DCR was the preferred modality of surgery in the younger age group due to its cosmesis. The average operating time was found to be lesser in external DCR while bleeding was marginally higher in external DCR, than in endonasal DCR .The success rate was higher in the external group(95%)as against 89%in the endonasal group, while the comfort levels of the patient in terms of immediate post operative pain and edema was significantly better in the endonasal group.
Authors and Affiliations
Aruna Arumugam, Samarapuri A, Yogeswari A, Malarvizhi R, Radhakrishnan M
Keywords
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