Is Endoscopic Dacrocystorhinostomy an Alternative to External Approach Dacrocystorhinostomy

Shaista Haider; Syed Abid Hassan Naqvi; Sidra Malik; Zamir Iqbal

doi:10.51253/pafmj.v74iSUPPL-2.5186

Authors

Shaista Haider Department of Ophthalmology, Pakistan Air Force Hospital, Islamabad Pakistan
Syed Abid Hassan Naqvi Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sidra Malik Department of Ophthalmology, Pakistan Air Force Hospital Faisal Base, Karachi Pakistan
Zamir Iqbal Department of Ophthalmology, Bilal Eye Hospital, Talagang Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74iSUPPL-2.5186

Keywords:

Chronic Dacryocystitis, Dacrocystorhinostomy, Efficacy, Endoscopic, External, Epiphora.

Abstract

Objective: To compare the efficacy of Endoscopic Dacrocystorhinostomy with External approach Dacrocystorhino-stomy.

Study Design: Comparatives analytical study.

Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, Nov 2017 to Apr 2018.

Methods: This analytical comparative study was carried out at Armed Forces Institute of Ophthalmology Rawalpindi. A total of 80 patients suffering from epiphora due to nasolacrimal duct obstruction were divided into two groups. Group-A underwent endoscopic Dacrocystorhinostomy while Group-B underwent external Dacrocystorhinostomy. At 6-months success of Dacrocystorhinostomy was assessed subjectively from symptomatic relief of epiphora.

Results: The efficacy of Group-A treatment was significantly higher as that of Group-B treatment. i.e. Group-A: 90% vs. Group-B: 67.5%. The p-value was calculated to be 0.014 which was statistically significant.

Conclusion: Based on this study, it is safe to conclude that endoscopic Dacrocystorhinostomy is an effective alternative to external approach Dacrocystorhinostomy in treating cases with epiphora due to nasolacrimal duct obstruction.

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