External dacryocystorhinostomy

A two-year review

Long Li Ying, Safinaz Mohd Khialdin, Nazila Binti Ahmad Azli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Dacryocystorhinostomy (DCR) is the treatment of choice for nasolacrimal duct obstruction. Despite the emergence of new techniques such as endoscopic DCR, external DCR is still the criterion standard in primary cases. Aim: To analyse the epidemiological data, surgical technique, success rate, and complications of patients who underwent external DCR in Hospital Selayang from January 2015 to December 2016. Method: Retrospective case series. Results: A total of 21 eyes of 20 patients who underwent external DCR from January 2015 to December 2016 were identified and reviewed. There were 15 females (75%) and 5 males (25%). Age ranged from 5 to 75 years old, with a median age of 56 years old (IQR 23). Twelve patients presented with epiphora while eight patients presented with symptoms of dacryocystitis. One case was congenital, two were secondary nasolacrimal duct obstruction and the rest were primary nasolacrimal duct obstruction. All patients underwent external DCR under general anaesthesia. Silicone tube were inserted in 21 eyes, of which all were removed 3 months after the surgery except one patient whom had his tube dislodged accidentally. The overall success rate was 90.5% (n = 19), which was defined as no or minimal intermittent epiphora or no reflux on lacrimal irrigation at 12 months postoperative. There was one patient who had a cerebrospinal fluid leak treated successfully with intravenous antibiotics. Conclusion: The surgical success rate for external dacryocystorhinostomy was comparable to that of the global success rate of external DCR. This is attributed to the application of surgical technique such as anterior suspended flap modification and posterior flap excision.

Original languageEnglish
Pages (from-to)179-185
Number of pages7
JournalAsian Journal of Ophthalmology
Volume16
Issue number3
Publication statusPublished - 1 Jan 2018

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Dacryocystorhinostomy
Nasolacrimal Duct
Lacrimal Apparatus Diseases
Dacryocystitis
Silicones
Tears
General Anesthesia
Anti-Bacterial Agents

Keywords

  • Case series
  • External dacryocystorhinostomy
  • Malaysia
  • Nasolacrimal duct obstruction

ASJC Scopus subject areas

  • Ophthalmology

Cite this

External dacryocystorhinostomy : A two-year review. / Ying, Long Li; Mohd Khialdin, Safinaz; Azli, Nazila Binti Ahmad.

In: Asian Journal of Ophthalmology, Vol. 16, No. 3, 01.01.2018, p. 179-185.

Research output: Contribution to journalArticle

Ying, Long Li ; Mohd Khialdin, Safinaz ; Azli, Nazila Binti Ahmad. / External dacryocystorhinostomy : A two-year review. In: Asian Journal of Ophthalmology. 2018 ; Vol. 16, No. 3. pp. 179-185.
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