June 2013
Volume 54, Issue 15
ARVO Annual Meeting Abstract  |   June 2013
Sequelae in the Treatment of Epiphora with Endoscopic Dacryocystorhinostomy
Author Affiliations & Notes
  • Ann Murchison
    Emergency Department, Wills Eye Institute, Philadelphia, PA
  • Jurij Bilyk
    Oculoplastic and Orbital Surgery, Wills Eye Institute, Philadelphia, PA
  • Footnotes
    Commercial Relationships Ann Murchison, None; Jurij Bilyk, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 738. doi:
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      Ann Murchison, Jurij Bilyk; Sequelae in the Treatment of Epiphora with Endoscopic Dacryocystorhinostomy. Invest. Ophthalmol. Vis. Sci. 2013;54(15):738.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: To evaluate the postoperative sequelae of primary endoscopic dacryocystorhinostomy (eDCR).

Methods: 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.

Results: 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.

Conclusions: 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.

Keywords: 462 clinical (human) or epidemiologic studies: outcomes/complications • 631 orbit  

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