Functional Outcome in Primary Nasolacrimal Duct Obstruction after Successful External Dacryocystorhinostomy Surgery

  • Syed Ali Raza Rizvi Institute of Ophthalmology Jawaharlal Nehru Medical College AMU, Aligarh.UP.202002 India
  • Mohammad Saquib Institute of Ophthalmology Jawaharlal Nehru Medical College AMU, Aligarh.UP.202002
  • Yogesh Gupta Institute of Ophthalmology Jawaharlal Nehru Medical College AMU, Aligarh.UP.202002
  • Rakesh Maheshwari Institute of Ophthalmology Jawaharlal Nehru Medical College AMU, Aligarh.UP.202002
  • Puneet Maheshwari Department of Oto-Rhino- Laryngology, Era’s Lucknow Medical College and Hospital Lucknow.UP

Abstract

Aim: To assess the functional outcomes of external dacryocystorhinostomy(DCR)  surgery in symptomatic patient with  primary nasolacrimal duct obstruction .

Settings and Design: Prospective, clinical interventional study

Methods: This study was conducted in 50 consecutive (50 eyes) patients of Primary Acquired Nasolacrimal Duct Obstruction admitted in a tertiary eye care centre. Functional outcome comprises of symptom improvement which include absence of epiphora, improvement in vision, routine work, occupational work, mood, embarrassment. Assessment was done by pre and post-operative questionnaires at 2 ,6 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 analysed using McNemars 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 anatomic success of 96%.

Conclusions: In PANDO population, symptoms bother patient significantly. However, successful DCR surgery has a beneficial effect on the patient physical and social health thus changing the quality of life of patients markedly.

 

Published
Mar 30, 2017
How to Cite
RIZVI, Syed Ali Raza et al. Functional Outcome in Primary Nasolacrimal Duct Obstruction after Successful External Dacryocystorhinostomy Surgery. Asian Journal of Ophthalmology, [S.l.], v. 15, n. 3, mar. 2017. ISSN 1560-2133. Available at: <http://www.asianjo.com/index.php/AsianJO/article/view/262>. Date accessed: 14 dec. 2017.
Section
Original Article

Keywords

External dacrocystorhinostomy; PANDO; Functional Outcomes; Anatomic Success