Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 66  |  Issue : 8  |  Page : 1161--1164

Functional success evaluation of lacrimal drainage system by dacryoscintigraphy after transcanalicular diode laser dacryocystorhinostomy


Yakup Aksoy1, Yildiray Yildirim1, Tuncay Topal1, Enver Çesmeci2, Yavuz Çakir1 
1 Department of Ophthalmology, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey
2 Department of Otorhinolaryngology, Head and Neck Surgery, Gölcük Necati Celik State Hospital, Kocaeli, Turkey

Correspondence Address:
Dr. Yakup Aksoy
Department of Ophthalmology, Sultan Abdulhamid Han Training and Research Hospital, Selimiye, 34668 Uskudar, Istanbul
Turkey

Purpose: The purpose of the study was to evaluate the functional success rates using dacryoscintigraphy (DSG) after transcanalicular diode laser dacryocystorhinostomy (TDL-DCR). Methods: In this retrospective study, we investigated the records of 56 patients who underwent TDL-DCR for unilateral primary acquired nasolacrimal duct obstruction and anatomic patency was achieved. The lacrimal drainage systems of the other eyes of the patients were normal and were selected as control group. The functional success was evaluated with tear transit time (TT) on DSG and epiphora complaints' score (ECS) at postoperative 6 months. Results: Twenty-two (39%) of the patients were male and 34 (61%) were female, with a mean age of 46.6 (21–64). The dacryoscintigraphic findings of the operated and healthy eyes showed that there was statistically insignificant prolongation in the tear TT at the operated side at postoperative 6th month (P > 0.05). The mean ECS of operated eyes was 0.89. Functional success was achieved in 43 (76.8%) patients when the ECS of 0 and 1 was accepted as successful. A statistically significant delay in drainage was observed in DSG in all of the cases with epiphora score of 2 and 3 (P < 0.05). The tear TT was prolonged with the age increase (P < 0.05), but there was no significant difference concerning the gender. Conclusion: DSG is an effective tool to evaluate the functional success of TDL-DCR.


How to cite this article:
Aksoy Y, Yildirim Y, Topal T, Çesmeci E, Çakir Y. Functional success evaluation of lacrimal drainage system by dacryoscintigraphy after transcanalicular diode laser dacryocystorhinostomy.Indian J Ophthalmol 2018;66:1161-1164


How to cite this URL:
Aksoy Y, Yildirim Y, Topal T, Çesmeci E, Çakir Y. Functional success evaluation of lacrimal drainage system by dacryoscintigraphy after transcanalicular diode laser dacryocystorhinostomy. Indian J Ophthalmol [serial online] 2018 [cited 2024 Mar 29 ];66:1161-1164
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2018;volume=66;issue=8;spage=1161;epage=1164;aulast=Aksoy;type=0