Endoscopic dacryocystorhinostomy: long-term experience and outcomes.

Abstract

PURPOSE:

To report our experience in endoscopic dacryocystorhinostomy in treating nasolacrimal duct obstruction over a 14-year period.

METHODS:

Retrospective case series carried out over a 14-year period from 1999 to 2014. A total of 624 endoscopic dacryocystorhinostomy procedures were performed in 442 patients who were diagnosed with persistent epiphora.

PARTICIPANTS:

In total, 624 procedures in a total of 442 patients (<18 yo: 36 and >18 yo: 406) were included. Patients' records were assessed for demographics, intra- and postoperative complications, outcome and follow-up.

RESULTS:

In total, 442 patients underwent an endoscopic dacryocystorhinostomy. There were 342 females (77.3%) and 100 males with a mean age of 50.2 years. All patients presented with epiphora: 33 congenital (7.5%), 357 acquired (80.7%) and 52 functional cases (11.8%). The adult dacryocystorhinostomy (n = 577) had an anatomical success of 90.1%. Children's group (<18 yo) n = 36 with a total of 47 procedures and an anatomical success of 91.5%. Functional cases (all adults - n = 52) showed a 91% benefit after operation. In 624 DCRs, we found a complication rate of 3.2%.

CONCLUSION:

Endoscopic dacryocystorhinostomy offers good success rates with a safety profile and efficacy equivalent to the traditional external approach is an effective treatment with good outcome results in adults and children with persistent or functional epiphora.

• Authors: Adriaan D Coumou, Stijn W Genders, Trudy M Smid, Peerooz Saeed
• Journal: Acta ophthalmologica (Acta Ophthalmol) Vol. 95 Issue 1 Pg. 74-78 (Feb 2017) ISSN: 1755-3768 [Electronic] England
• PMID: 27573690 (Publication Type: Journal Article)
• Copyright: © 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Child, Preschool
• Dacryocystorhinostomy (methods)
• Endoscopy
• Female
• Humans
• Intubation
• Lacrimal Duct Obstruction (therapy)
• Male
• Middle Aged
• Nasolacrimal Duct (surgery)
• Retrospective Studies
• Young Adult