Arshad Mahmood, Zahid Mahmood, Mujahid Raza, Muhammad Saeed, Aysha Azam.
Easy and Effective Treatment for Chronic Dacryocystitis in Geriatric patients.
Ophthalmol Update Nov ;16(3):804-7.

Purpose: To find easy and effective treatment option for chronic dacryocystitis in geriatric patients, instead of extensive and difficult surgery dacryocystorhinostomy. It was an interventional prospective study. Material and Methods: 48 patients presented with chronic dacryocystitis in the out patients department of Ophthalmology in Nawaz Sharif Social Security Teaching Hospital, Multan Road Lahore and Gulab Devi Teaching Hospital Lahore, from January 2015 to April 2018, were included in this study. Approval by ethical review committee and informed consent was taken prior to study Patients from either gender, aged above 55 years with confirmed diagnosis of chronic dacryocystitis were included. Patients with Acute dacryocystitis, previous history of lacrimal sac surgery, tumors of lacrimal sac and nasal pathology were excluded from the study group. counseling and both the procedures were explained in detail with their adva All patients were operated by senior surgeons for dacryocystectomy under local anesthesia. Regular follow up was done for symptomatic relief on 1st. post op day then at 1st week, 3rd week and later on monthly basis for the next 6 months. Results: Total 48 patients with chronic dacryocystitis ranging from 55 to 70 years were included. The mean age was 58 years. Out of 48 patients, 35 (73%) were females and 13(27%) were males. Out of 48 patients, 41(85.41%) were relieved of the presenting complaint of epiphora, 5 (10.41%) patients have partial relief of their symptoms and 2 (4.1 %) patients still had the same epiphora although much less than at the presenting time. Conclusion: Dacryocystectomy is a good alternate in older patients for chronic dacryocystitis, as compared to much invasive dacryocystorhinostomy.

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