External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis

Objective. To compare pre- and postoperative characteristics and surgical success rates of patients with and without previous episodes of dacryocystitis, who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO). Methods. The medical files of all patients who underw...

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Main Authors: Gilad Rabina, Shani Golan, Meira Neudorfer, Igal Leibovitch
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2013/287524
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author Gilad Rabina
Shani Golan
Meira Neudorfer
Igal Leibovitch
author_facet Gilad Rabina
Shani Golan
Meira Neudorfer
Igal Leibovitch
author_sort Gilad Rabina
collection DOAJ
description Objective. To compare pre- and postoperative characteristics and surgical success rates of patients with and without previous episodes of dacryocystitis, who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO). Methods. The medical files of all patients who underwent external DCR between 2006 and 2011 in our institution were reviewed. The retrieved data of patients with and without previous episodes of dacryocystitis were compared. Surgical success was determined by postoperative followup of at least 6 months. Results. A total of 185 patients with NLDO underwent external DCR of whom 152 (100 females and 52 males, mean age 67 ± 15 years) met the inclusion criteria. Sixty had previous episodes of dacryocystitis and 92 did not. Left-side obstruction was more common than right-side obstruction among patients with previous episodes of dacryocystitis (48.3% versus 31.7%, resp., P=0.031). Glaucoma patients were significantly more likely to develop dacryocystitis than patients without glaucoma (P=0.002). The success rate of external DCR was 94.4% for patients with previous episodes of dacryocystitis and 86.7% for patients without (P=0.337). Conclusions. The surgical outcomes of external DCR in patients with or without a previous episode of dacryocystitis were similar. Patients with glaucoma and NLDO had a significantly higher risk of developing dacryocystitis.
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spelling doaj-art-16dd4b8cc28242aaa8e8252e450fd9002025-02-03T01:11:50ZengWileyJournal of Ophthalmology2090-004X2090-00582013-01-01201310.1155/2013/287524287524External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous DacryocystitisGilad Rabina0Shani Golan1Meira Neudorfer2Igal Leibovitch3Oculoplastic and Orbital Institute, Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, IsraelOculoplastic and Orbital Institute, Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, IsraelOculoplastic and Orbital Institute, Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, IsraelOculoplastic and Orbital Institute, Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, IsraelObjective. To compare pre- and postoperative characteristics and surgical success rates of patients with and without previous episodes of dacryocystitis, who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO). Methods. The medical files of all patients who underwent external DCR between 2006 and 2011 in our institution were reviewed. The retrieved data of patients with and without previous episodes of dacryocystitis were compared. Surgical success was determined by postoperative followup of at least 6 months. Results. A total of 185 patients with NLDO underwent external DCR of whom 152 (100 females and 52 males, mean age 67 ± 15 years) met the inclusion criteria. Sixty had previous episodes of dacryocystitis and 92 did not. Left-side obstruction was more common than right-side obstruction among patients with previous episodes of dacryocystitis (48.3% versus 31.7%, resp., P=0.031). Glaucoma patients were significantly more likely to develop dacryocystitis than patients without glaucoma (P=0.002). The success rate of external DCR was 94.4% for patients with previous episodes of dacryocystitis and 86.7% for patients without (P=0.337). Conclusions. The surgical outcomes of external DCR in patients with or without a previous episode of dacryocystitis were similar. Patients with glaucoma and NLDO had a significantly higher risk of developing dacryocystitis.http://dx.doi.org/10.1155/2013/287524
spellingShingle Gilad Rabina
Shani Golan
Meira Neudorfer
Igal Leibovitch
External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
Journal of Ophthalmology
title External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
title_full External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
title_fullStr External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
title_full_unstemmed External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
title_short External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis
title_sort external dacryocystorhinostomy characteristics and surgical outcomes in patients with and without previous dacryocystitis
url http://dx.doi.org/10.1155/2013/287524
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AT meiraneudorfer externaldacryocystorhinostomycharacteristicsandsurgicaloutcomesinpatientswithandwithoutpreviousdacryocystitis
AT igalleibovitch externaldacryocystorhinostomycharacteristicsandsurgicaloutcomesinpatientswithandwithoutpreviousdacryocystitis