medigraphic.com
ISSN 1561-3070 (Electronic)

2016, Number 2

<< Back Next >>

Rev Cub Oftal 2016; 29 (2)

External dacryocystorhinostomy: outcomes achieved in oneyear experience in Villa Clara province

Negrín-Cáceres Y, Cabrera-Romero AC, Cárdenas-Monzón L, Figueroa-Padilla M

Language: Spanish
References: 15
Page: 251-259
PDF size: 87.66 Kb.


ABSTRACT

Objective: to describe the results of external dacryocystorhinostomy surgery in one year.
Methods: a prospective, longitudinal descriptive and observational study was conducted in 28 patients from 25 patients. The study variables were gender, race, age, affected side, etiology, complications and surgery outcomes.
Results: there were 7 male and 18 female patients, 16 Caucasians and 9 non- Caucasians with statistically significant difference (p= 0,043). The mean age was 69 ± 11 years. The obstruction involved the left side in 13 patients (52 %) and involution was the main etiology in 68 % with statistical significance (p= 0,0003). Perioperative bleeding was the main complication (24 %). In the group, 92 % said the symptoms had reduced after surgery, and according to the surgeon, objective improvement was attained in 88% of cases.
Conclusion: external dacryocystorhinostomy was more frequent in Caucasian women aged 60 to 70 years. The left side was the most affected, with prevailing involution etiology. There were minimum complications, being perioperative bleeding predominant. Most of the patients felt better after surgery and the surgeon´s criteria were in favor of the positive results of this surgery.


REFERENCES

  1. Yakopson VC, Flanagan J, Ahn DP, Luod B. Dacryocystorhinostomy: History, evolution and future directions. Saudi J Ophthalmol. 2011 [citado 12 de febrero de 2015];25(1):37-49. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3729489

  2. Mohammad JA. External dacryocystorhinostomy: Tips and tricks. Oman J Ophthalmol. 2012 [citado 12 de febrero de 2015];5(3):191-5. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/3574519

  3. Miranda Anta S, Blanco Mateos G, Valverde Collar C. Dacriocistorrinostomía en adolescentes, jóvenes y adultos. Arch Soc Esp Oftalmol. 2011 [citado 10 de febrero de 2015];86(8):243-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912011000800002

  4. López García JS. Dacriocistorrinostomía externa. Mesa redonda: "Tratamiento de la patología de las vías lagrimales". Boletín de la Sociedad de Oftalmología de Madrid - Nº 51. 2011 [citado 12 de febrero de 2015]. Disponible en: http://www.oftalmo.com/som/index.php/2012-11-30-17-37-36/

  5. Lee MJ. Associated factors of functional failure of external dacryocystorhinostomy. Can J Ophthalmol. 2014 [citado 10 de febrero de 2015]; 49(1):40-4. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24513355

  6. Mjarkesh MM, Morel X, Renard G. Study of the cutaneous scar after external dacryocystorhinostomy. J Fr Ophtalmol. 2012 [citado 11 de febrero de 2015];35(2):88-93. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21906838

  7. Mohammad Javed A. Dacryocystorhinostomyostium: parameters to evaluate and DCR ostium scoring. Clin Ophthalmol. 2014 [citado 9 de febrero de 2015];8:2491-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4266414

  8. Efstathios TD. Lacrimal Outflow Mechanisms and the Role of Scintigraphy: Current Trends. World J Nucl Med. 2014 [citado 15 de enero de 2015];13(1):16-21. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4149763

  9. Emre A. Analysis of age as a possible prognostic factor for transcanalicular multidiode laser dacryocystorhinostomy. J Ophthalmol. 2014 [citado 10 de marzo de 2015]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4070536

  10. Qian Z1, Zhang Y, Fan X. Clinical Outcomes of Dacryocystorhinostomy With or Without Intraoperative Use of Mitomycin C: A Systematic Review and Meta-Analysis. J Ocul Pharmacol Ther. 2014 [citado 10 de marzo de 2015]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25073012

  11. Gilad R. External Dacryocystorhinostomy: Characteristics and Surgical Outcomes in Patients with and without Previous Dacryocystitis. J Ophthalmol. 2013 [citado 15 de enero de 2015]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/3880706

  12. Javed Ali M, Honavar SG. Assessment of patient satisfaction following external versus transcanalicular dacryocystorhinostomy. Curr Eye Res. 2012 [citado 10 de marzo de 2015];37(9):853. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22631609

  13. Katuwal S, Aujla JS, Limbu B, Saiju R, Ruit S. External dacryocystorhinostomy: do we really need to repair the posterior flaps? Orbit. 2013;32(2):102-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23514023

  14. Anijeet D, Dolan L, Mac Ewen C. Dacriocistorrinostomía endonasal versus externa para la obstrucción del conducto nasolagrimal. Cochrane Database of Systematic Reviews. 2011 [citado 10 de julio de 2014]. Issue 1. Art. No. CD007097. Disponible en: http://www.updatesoftware. com/BCP/BCPMainFrame.asp?DocumentID=CD007097&SessionID=0

  15. Serdar O, Pinar AO. Endoscopic vs. external dacryocystorhinostomy-comparison from the patients' aspect. Int J Ophthalmol. 2014 [citado 10 de marzo de 2015];7(4):689-96. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4137209




2020     |     www.medigraphic.com