Functional outcome in primary nasolacrimal duct obstruction after successful external dacryocystorhinostomy surgery

Rizvi, S.A.R. and Saquib, M. and Gupta, Y. and Maheshwari, R. and Maheshwari, P. (2017) Functional outcome in primary nasolacrimal duct obstruction after successful external dacryocystorhinostomy surgery. Asian Journal of Ophthalmology, 15 (3). pp. 143-150. ISSN 15602133

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Official URL: http://www.asianjo.com/index.php/AsianJO/article/v...

Abstract

Aim: To assess the functional outcomes of external dacryocystorhinostomy (DCR) surgery in symptomatic patient with primary nasolacrimal duct obstruction. Design: Prospective, clinical interventional study. Methods: This study was conducted in initially 57 consecutive (57 eyes) patients and ultimately 50 consecutive (50 eyes) patients with primary acquired nasolacrimal duct obstruction admitted in a tertiary eye care center. Functional outcome comprises of symptom improvement which includes absence of epiphora, improvement in vision, routine work, occupational work, mood, embarrassment. Assessment was done by pre-and postoperative questionnaires at two, six and 12 months postoperatively.. Anatomic success was assessed by lacrimal syringing, fluorescein dye disappearance test (FDDT) and endoscopic view of osteotomy. Statistical significance between preoperative and postoperative symptoms (functional outcome assessment) was analyzed using the McNemar’s test. Results: Postoperatively, marked improvement in subjective symptoms, i.e., difficulty in vision (93.5%), routine work (95.6%),occupational work (95.8%), mood (95%) and embarrassment (94%) was seen with an anatomic success of 96%. Conclusions: In primary acquired nasolacrimal duct obstruction (PANDO) patients, symptoms bother the patient significantly. However, successful DCR surgery has a beneficial effect on the patient’s physical and social health, thereby changing the quality of life of patients markedly.

Item Type: Article
Uncontrolled Keywords: Anatomic success; External dacrocystorhinostomy; Functional outcomes; PANDO
Subjects: R Medicine > R Medicine (General)
Divisions: Faculties > Faculty of Medicine > J.N. Medical College
Depositing User: AMU Library
Date Deposited: 29 Jan 2018 06:43
Last Modified: 01 Feb 2018 05:21
URI: http://ir.amu.ac.in/id/eprint/11002

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