Purchase this article with an account.
Ann Murchison, Jurij Bilyk; Sequelae in the Treatment of Epiphora with Endoscopic Dacryocystorhinostomy. Invest. Ophthalmol. Vis. Sci. 2013;54(15):738.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To evaluate the postoperative sequelae of primary endoscopic dacryocystorhinostomy (eDCR).
65 patients (80 eDCRs) were surveyed postoperatively regarding side effects from eDCR surgery. Symptoms evaluated included ophthalmic (tearing, mucous, air reflux) and nasal/sinus symptoms. Air reflux was evaluated for correlation with tearing and other variables.
The most common sequela from surgery was air reflux from the puncta (36 cases, 45.0%). 55.6% of these patients experienced symptoms only “rarely”, while 8.3% had symptoms daily. Air reflux was most commonly associated with nose blowing (66.7%). Success of eDCR correlated with presence of air reflux (p<0.0315). All patients with air reflux preferred having air reflux to epiphora. Epistaxis was present in 6 cases (7.5%) and nasal congestion in 25.0%. The postoperative period ranged from 8 to 66 months.
Treatment for epiphora with endoscopic eDCR has a high success rate with few side effects. The presence of air reflux correlates with the success of eDCR and is minimally bothersome to patients.
This PDF is available to Subscribers Only