Functional Outcome in Primary Nasolacrimal Duct Obstruction after Successful External Dacryocystorhinostomy Surgery
Autor: | Puneet Maheshwari, Mohammad Saquib, Syed Ali Raza Rizvi, Yogesh Gupta, Rakesh Maheshwari |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
education.field_of_study business.industry medicine.medical_treatment Population Outcome assessment Occupational work medicine.disease Osteotomy Surgery 03 medical and health sciences Ophthalmology 0302 clinical medicine Nasolacrimal duct obstruction Mood External dacryocystorhinostomy Statistical significance 030221 ophthalmology & optometry medicine 030223 otorhinolaryngology education business |
Zdroj: | Asian Journal of Ophthalmology. 15 |
ISSN: | 1560-2133 |
DOI: | 10.35119/asjoo.v15i3.262 |
Popis: | Aim: To assess the functional outcomes of external dacryocystorhinostomy(DCR) surgery in symptomatic patient with primary nasolacrimal duct obstruction .Settings and Design: Prospective, clinical interventional studyMethods: This study was conducted in 50 consecutive (50 eyes) patients of Primary Acquired Nasolacrimal Duct Obstruction admitted in a tertiary eye care centre. Functional outcome comprises of symptom improvement which include absence of epiphora, improvement in vision, routine work, occupational work, mood, embarrassment. Assessment was done by pre and post-operative questionnaires at 2 ,6 and 12 months postoperatively.. Anatomic success was assessed by Lacrimal syringing , Fluorescein dye disappearance test(FDDT) and endoscopic view of osteotomy. Statistical significance between preoperative and postoperative symptoms (Functional outcome assessment) was analysed using McNemars testResults: Postoperatively, marked improvement in subjective symptoms i.e. difficulty in vision (93.5%), routine work (95.6%),occupational work (95.8%),mood(95%) and embarrassment (94%) was seen with anatomic success of 96%.Conclusions: In PANDO population, symptoms bother patient significantly. However, successful DCR surgery has a beneficial effect on the patient physical and social health thus changing the quality of life of patients markedly. |
Databáze: | OpenAIRE |
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