Mohammad Alam, Misbah Durrani, Lal Mohammad, Arshad Farooq.
Complications & Results of External Dacryocystorhinostomy in Chronic Dacryocystitis without Intubation.
Ophthalmol Update Jan ;13(2):107-9.

Objective: To find out complications and results of external dacryocystorhinostomy without tube intubation in chronic dacryocystitis (CDC). Materials and methods: This prospective study was conducted in eye care centre Karak and K.D.A Teaching Hospital Kohat from March, 2008 to March, 2014. 107 patients suffering from chronic dacryocystitis were selected with age range from 31 ? 63 years with mean age 44.7 years. Out of 107 patients, 63 (58.87%) were male and 44(41.12%) were female. Indications for dacryocystorhinosyomy was epiphora and chronic dacryocystitis. Diagnosis was done on regurgitation test and syringing of nasolacrimal duct system. All patients were operated under local anesthesia. External approach was done and only anterior flap was made. Dacryocystorhinostomy was done without silicone tube intubation. Postoperative syringing was done on the table, 10 days, 3 months and 6 months. Successful outcome was defined as relief from epiphora after dacryocystorhinostomy and patent nasolacrimal duct on syringing. Results: After six months 95 (88.78%) was the success rate. Epiphora was present in 7(6.54%) patients and epiphora with discharge was present in 5(4.67%). 11(10.28%) patients had nasal mucosal bleeding, 9(8.41%) had nasal bone bleeding and tear in nasal septum was observed in 2(1.86%)patients peroperatively. Postoperatively 9(8.41%) patients had wound infection with cellulitis, 4 (3.73%) patients had bleeding from nose and 13(12.14%) patients had periorbital ecchymosis. All these complications resolved within 10 days. Conclusion: External dacryocystorhinostomy is a safe procedure under local anesthesia. This technique has high success rate. Complications are minimal and can be easily managed.

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