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IP International Journal of Ocular Oncology and Oculoplasty


Endoscopic Dacryocystorhinostomy (DCR) as a primary treatment in acute dacryocystitis in adults


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Author Details: Reshma Pathan, Rizwan Pathan, Ayisha Afreen

Volume : 3

Issue : 4

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 289

Article End Page : 292


Abstract

Aim: To study the result of using endoscopic DCR as a primary treatment for acute dacryocystitis in adults.
Settings and Design: A retrospective case study done to evaluate the results of endoscopic DCR as a primary treatment for acute dacryocystitis in adults.
Materials and Methods: After informed written consent and routine preoperative evaluation patients were posted for primary endoscopic dacryocystorhinostomy. Oral antibiotics were simultaneously started. All patients were taken under intravenous sedation. All cases selected were operated by the same surgeon. The outcome was evaluated in terms of decrease in the swelling, pain and epiphora. The follow up was done 1wk, 4wks, and 6 months after surgery. At every follow up lacrimal syringing was done to establish the patency of the sac. The granulation tissue was cleaned every time endonasally.
Results: All surgeries were uneventful the sac area was much easier to identify due to its swollen nature. Some of the patients underwent a simultaneous septoplasty surgery due to the presence of a deviated nasal septum no DCR stents or tubes were used for the surgery. The first post-operative day the swelling and epiphora were reduced. The pain also reduced in all the patients but in 4 of the patients it reduced gradually over a period of 2 days. The lacrimal syringing showed patent lacrimal passages.
On subsequent follow up i.e. 1 wk and 1 month the osteotomy was cleaned of all the granulation tissue with suction endonasally. The osteotomy was patent at 6 months follow up in 26 patients.
Conclusion: The success rate after the combined treatment of endo-DCR, antibiotics and anti-inflammatory drugs was 92, 85%.

Keywords: DCR, Epiphora, NLD.

Doi No:-10.18231