Tags

Type your tag names separated by a space and hit enter

Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients with Total Obstruction of One Canalicus.
Korean J Ophthalmol 2019; 33(2):138-141KJ

Abstract

PURPOSE

We sought to evaluate the outcomes of external dacryocystorhinostomy (DCR) and mono-canalicular intubation in patients with total obstruction of one canalicus.

METHODS

Sixteen eyes of 16 patients with nasolacrimal duct obstruction and a single canaliculus obstruction who had undergone external DCR and monocanalicular intubation of the intact canaliculus were retrospectively included in the present study. The monocanalicular tube (Mini Monoka) was left in place for at least two months. Munk epiphora grading for the evaluation of epiphora and irrigation was performed both preoperatively and at 6 months postoperatively.

RESULTS

Mean patient age was 46 ± 14.2 (range, 18 to 76) years. The inferior canaliculus was obstructed in nine eyes (group A) and the superior canaliculus was obstructed in seven eyes (group B), respectively. Eight eyes had chronic dacryocystitis and two of these eyes also had a history of acute dacryocystitis attack. Mean preoperative Munk scores were 3.89 in group A and 4.0 in group B. Ocular surface irritation occurred in one eye in group A. Artificial eye drops were prescribed and early tube removal was not performed. Spontaneous tube dislocation was recorded in one eye in group B. No other corneal, punctal, or canalicular complications were found. At six months, irrigation of intact canaliculus was patent in all eyes. Mucoid discharge, conjunctival hyperemia, and chronic conjunctivitis were also resolved. Postoperative Munk scores were 1.11 ± 0.9 in group A and 0.86 ± 0.9 in group B. Of note, preoperative and postoperative Munk scores were significantly different in both groups (group A, p = 0.006; group B, p = 0.017). The postoperative Munk scores were not statistically different between the two groups (p = 0.606).

CONCLUSIONS

In patients with nasolacrimal duct obstruction and a total of one canaliculus obstruction, external DCR and monocanalicular intubation of the intact canaliculus is an effective surgical option.

Authors+Show Affiliations

Acibadem Health Group, Istanbul, Turkey. bulent_but@yahoo.com.Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.Department of Ophthalmology, Medipol University Medical Faculty, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30977323

Citation

Buttanri, Ibrahim Bulent, et al. "Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients With Total Obstruction of One Canalicus." Korean Journal of Ophthalmology : KJO, vol. 33, no. 2, 2019, pp. 138-141.
Buttanri IB, Buttanri B, Serin D. Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients with Total Obstruction of One Canalicus. Korean J Ophthalmol. 2019;33(2):138-141.
Buttanri, I. B., Buttanri, B., & Serin, D. (2019). Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients with Total Obstruction of One Canalicus. Korean Journal of Ophthalmology : KJO, 33(2), pp. 138-141. doi:10.3341/kjo.2018.0077.
Buttanri IB, Buttanri B, Serin D. Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients With Total Obstruction of One Canalicus. Korean J Ophthalmol. 2019;33(2):138-141. PubMed PMID: 30977323.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of External Dacryocystorhinostomy and Monocanalicular Intubation in Patients with Total Obstruction of One Canalicus. AU - Buttanri,Ibrahim Bulent, AU - Buttanri,Bahtinur, AU - Serin,Didem, PY - 2018/07/11/received PY - 2018/08/24/accepted PY - 2019/4/13/entrez PY - 2019/4/13/pubmed PY - 2019/5/29/medline KW - Dacryocystorhinostomy KW - Lacrimal apparatus diseases KW - Lacrimal duct obstruction SP - 138 EP - 141 JF - Korean journal of ophthalmology : KJO JO - Korean J Ophthalmol VL - 33 IS - 2 N2 - PURPOSE: We sought to evaluate the outcomes of external dacryocystorhinostomy (DCR) and mono-canalicular intubation in patients with total obstruction of one canalicus. METHODS: Sixteen eyes of 16 patients with nasolacrimal duct obstruction and a single canaliculus obstruction who had undergone external DCR and monocanalicular intubation of the intact canaliculus were retrospectively included in the present study. The monocanalicular tube (Mini Monoka) was left in place for at least two months. Munk epiphora grading for the evaluation of epiphora and irrigation was performed both preoperatively and at 6 months postoperatively. RESULTS: Mean patient age was 46 ± 14.2 (range, 18 to 76) years. The inferior canaliculus was obstructed in nine eyes (group A) and the superior canaliculus was obstructed in seven eyes (group B), respectively. Eight eyes had chronic dacryocystitis and two of these eyes also had a history of acute dacryocystitis attack. Mean preoperative Munk scores were 3.89 in group A and 4.0 in group B. Ocular surface irritation occurred in one eye in group A. Artificial eye drops were prescribed and early tube removal was not performed. Spontaneous tube dislocation was recorded in one eye in group B. No other corneal, punctal, or canalicular complications were found. At six months, irrigation of intact canaliculus was patent in all eyes. Mucoid discharge, conjunctival hyperemia, and chronic conjunctivitis were also resolved. Postoperative Munk scores were 1.11 ± 0.9 in group A and 0.86 ± 0.9 in group B. Of note, preoperative and postoperative Munk scores were significantly different in both groups (group A, p = 0.006; group B, p = 0.017). The postoperative Munk scores were not statistically different between the two groups (p = 0.606). CONCLUSIONS: In patients with nasolacrimal duct obstruction and a total of one canaliculus obstruction, external DCR and monocanalicular intubation of the intact canaliculus is an effective surgical option. SN - 2092-9382 UR - https://www.unboundmedicine.com/medline/citation/30977323/Outcome_of_External_Dacryocystorhinostomy_and_Monocanalicular_Intubation_in_Patients_with_Total_Obstruction_of_One_Canalicus_ L2 - https://ekjo.org/DOIx.php?id=10.3341/kjo.2018.0077 DB - PRIME DP - Unbound Medicine ER -