Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques
Purpose. This study aimed to evaluate long-term results of external dacryocystorhinostomy (DCR) at a tertiary eye care center specializing in lacrimal duct surgery in Germany. Methods. The medical records of 1010 patients with acquired nasolacrimal duct obstruction (NLDO), who had undergone lacrimal...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/5918457 |
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| author | M. Alnawaiseh N. Mihailovic A. C. Wieneke V. Prokosch A. Rosentreter R. L. Merté N. Eter |
| author_facet | M. Alnawaiseh N. Mihailovic A. C. Wieneke V. Prokosch A. Rosentreter R. L. Merté N. Eter |
| author_sort | M. Alnawaiseh |
| collection | DOAJ |
| description | Purpose. This study aimed to evaluate long-term results of external dacryocystorhinostomy (DCR) at a tertiary eye care center specializing in lacrimal duct surgery in Germany. Methods. The medical records of 1010 patients with acquired nasolacrimal duct obstruction (NLDO), who had undergone lacrimal duct surgery at a tertiary eye care center, were reviewed. Only adult patients who had undergone external DCR were included. The evaluation included the following parameters: age, gender, duration of symptoms, patient satisfaction, previous dacryocystitis, complication rates, and surgical outcome. Results. 154 eyes of 146 patients (14.5%) could be included in the study. The average age was 64.1±29.7 years. 66.4% of patients were females and 33.6% were males. Acute or chronic dacryocystitis was found in 81 patients (55.5%). Overall, 82.8% of patients had full resolution of symptoms. The success rate of external DCR for patients with previous episodes of dacryocystitis was 82.7% compared to 83.4% for patients without dacryocystitis in their medical history. Conclusion. In cases in which transcanalicular microendoscopic techniques are contraindicated (e.g., after dacryocystitis) or in complex cases where microendoscopic procedures have failed (revision surgery), external DCR is still the surgical treatment of choice with very good postoperative success. |
| format | Article |
| id | doaj-art-dd02cb544a944a9792d212e2dd4c56d1 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-dd02cb544a944a9792d212e2dd4c56d12025-02-03T06:06:59ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/59184575918457Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic TechniquesM. Alnawaiseh0N. Mihailovic1A. C. Wieneke2V. Prokosch3A. Rosentreter4R. L. Merté5N. Eter6Department of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyDepartment of Ophthalmology, University of Muenster Medical Center, 48149 Muenster, GermanyPurpose. This study aimed to evaluate long-term results of external dacryocystorhinostomy (DCR) at a tertiary eye care center specializing in lacrimal duct surgery in Germany. Methods. The medical records of 1010 patients with acquired nasolacrimal duct obstruction (NLDO), who had undergone lacrimal duct surgery at a tertiary eye care center, were reviewed. Only adult patients who had undergone external DCR were included. The evaluation included the following parameters: age, gender, duration of symptoms, patient satisfaction, previous dacryocystitis, complication rates, and surgical outcome. Results. 154 eyes of 146 patients (14.5%) could be included in the study. The average age was 64.1±29.7 years. 66.4% of patients were females and 33.6% were males. Acute or chronic dacryocystitis was found in 81 patients (55.5%). Overall, 82.8% of patients had full resolution of symptoms. The success rate of external DCR for patients with previous episodes of dacryocystitis was 82.7% compared to 83.4% for patients without dacryocystitis in their medical history. Conclusion. In cases in which transcanalicular microendoscopic techniques are contraindicated (e.g., after dacryocystitis) or in complex cases where microendoscopic procedures have failed (revision surgery), external DCR is still the surgical treatment of choice with very good postoperative success.http://dx.doi.org/10.1155/2016/5918457 |
| spellingShingle | M. Alnawaiseh N. Mihailovic A. C. Wieneke V. Prokosch A. Rosentreter R. L. Merté N. Eter Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques Journal of Ophthalmology |
| title | Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques |
| title_full | Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques |
| title_fullStr | Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques |
| title_full_unstemmed | Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques |
| title_short | Long-Term Outcomes of External Dacryocystorhinostomy in the Age of Transcanalicular Microendoscopic Techniques |
| title_sort | long term outcomes of external dacryocystorhinostomy in the age of transcanalicular microendoscopic techniques |
| url | http://dx.doi.org/10.1155/2016/5918457 |
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