EXTERNAL DACRYOCYSTORHINOSTOMY IN PAEDIATRIC PATIENTS AND SURGICAL OUTCOMESOUR EXPERIENCE IN A GOVERNMENT TEACHING HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 45
Abstract
BACKGROUND In paediatric group patients, management of Epiphora is a stepwise process starting with probing at the age of 9-12 months and it results in high cure rates. For persistent watering and discharge following repeated probing, more invasive procedures like Balloon Dacryocystoplasty or external and endonasal Dacryocystorhinostomy are required in older children. Our study was designed to evaluate the indications, intra operative events and surgical outcomes of external dacryocystorhinostomy in children. Design- A descriptive study was carried out in the Department of Paediatric Ophthalmology at Sarojini Devi Eye Hospital including children undergoing external Dacryocystorhinostomy in the year 2017 with a minimum Post Op follow up of six months. MATERIALS AND METHODS The children aged between 7-14 years attending the OPD of Paediatric Ophthalmology were recruited for study numbering 50. The data collected regarding age, sex of the patients, side of the obstruction, indication for surgery, intra operative events, follow up period, post-operative complications and post-operative results. In our study, follow up period was at least 6 months. Data of the 50 patients are statistically analysed and presented. RESULTS In our study, the mean followup period was 8.78 months and age of the patients ranges from 7 years to 14 years with a mean of 8.71 years. The complication rate is low as successful outcomes seen in 47 cases (94%) against failed patency in two cases (4%) and in 2% cases there is partial patency resulting in occasional watering. Incidence in males was slightly higher (60%) than in females (40%). CONCLUSION External DCR is a cost effective and efficient surgical treatment for Congenital NLDO or acquired lacrimal obstruction causing epiphora in children.
Authors and Affiliations
Raman Yenugandula, Prameela Prameela, Anand Kumar
Keywords
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- EP ID EP550458
- DOI 10.14260/jemds/2018/1076
- Views 90
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