Evaluation of endoscopic dacryocystorhinostomy in Basra-Iraq

الملخص EN

Objective : to evaluate the success rate of endoscopic dacryocystorhinostomy for management of patients with acquired nasolacrimal duct obstruction.

Methods : this is a prospective study of endoscopic dacryocystorhinostomy performed from May 2015 to March 2016 in the otolaryngology department of Basra General Hospital, including 54 patients complaining from acquired nasolacrimal duct obstruction.

Results : there were 33 females (%61.1) and 21 males (%38.9), with females to males ratio of 1.57:1.

The age of patients ranged from 14 to 65 years with mean age of 45 years.

All patients were operated under general anesthesia; the average operating time was 29 minutes.

Right eye was affected in 38 (70.3%) patients and the left eye was affected in 16 (29.6%) patients.

Sixteen (29.6%) patients had deviated nasal septum, from which septoplasty performed for 9 of them at same setting.

The studied patients were evaluated for symptoms of epiphora improvement subjectively, and objectively by patency test and nasoendoscopic examination of new ostia.

The success rate was 96.3%, two months after tube removal which decline to 94.4%, six months after tube removal.

Conclusions : endoscopic DCR is simple minimal invasive procedure has excellent results with patients complaining from acquired NLDO, and the complications encountered during and after the procedure can be managed successfully.

Regular follow up after endoscopic DCR is necessary