Surgical Outcome of Endoscopic Dacryocystorhinostomy in patient with nasolacrimal duct obstruction in Chiangrai Prachanukroh Hospital by General Ophthalmologist
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Abstract
Background: Endoscopic dacryocystorhinostomy (endoscopic DCR) is an effective alternative treatment for nasolacrimal duct obstruction. But mostly this operation is performed by oculoplastic surgeon. Since, Chiangrai Prachanukroh hospital has not an ophthalmologist specializes in this field, therefore, we set up a potential development project for the general ophthalmologist to be able to perform this operation.
Objective: To evaluate surgical outcome of endoscopic DCR in patients with nasolacrimal duct obstruction in Chiangrai Prachanukroh hospital by general ophthalmologist.
Methods: A retrospective review of 32 patients with nasolacrimal duct obstruction who performed endoscopic DCR without preservation of lacrimal sac flap technique from January 2016 to December 2020 in Department of Ophthalmology, Chiangrai Prachanukroh Hospital were included in this study. The cases that followed less than 3 months were excluded. Silicone tube was placed for 3 months. The outcomes were subjective improvement in epiphora and the patency of the lacrimal drainage system using irrigation test.
Results: A total of 32 patients were included in this study. The surgical success group was 28 cases (87.50%). The mean age of the patient was 54.46±13.62 years and 67.25±4.92 years in the surgical success group and the failure groups respectively (p=0.076). The majority of patients were women (5:1). The operation success group was all 5 men patients and 23 women patients. All patients in failure group were women (100.00%). One patient was postoperative bleeding. There was no serious complication. No significant difference of preoperative factor, age, gender, side, postoperative stent removal time (p-value>0.05).
Conclusion and RECOMMENDATION: Endoscopic DCR is an effective alternative treatment for nasolacrimal duct obstruction which can performed by a general ophthalmologist with a good outcome. Doing this operative in the hospitals with no oculoplastic surgeon will useful in reducing waiting time for surgery and good benefit in the public health system.
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