Examining The Decrease In Symptoms In Patients With Dacryocystorhinostomy Both With And Without Silicon Intubation A Randomized Controlled Trial

Abstract



Objective: To determine if dacryocystorhinostomy or silicon intubation is more effective in treating nasolacrimal duct obstruction

Study Design: A Randomized Controlled Trial Study

Place and duration of study: This research was conducted over a six-month period, from October 9, 2021, to April 9, 2022, at the Department of Clinical Ophthalmology, Khyber Girls’ Medical College, Hayatabad Medical Complex (HMC), Peshawar.

Materials and Methods: The study comprised 446 patients with nasolacrimal duct blockage (NLDO). Each patient was split up into two cohorts. Group A had cryocystorhinostomy (DCR) with silicon intubation, whereas Group B underwent DCR without intubation.

Results: The average age of the sample was 35.1 + 9.2 years. The mean age of Group B was 35.2 + 9.1 years, whereas the mean age of Group A was 34.9 + 9.3 years (p 0.730). Group A consisted of 61.9% males and group B had 56.5% males (p 0.248). The average number of days that symptoms persisted was 11 + 3.2 days in group A and 10.4 + 2.9 days in group B (p 0.082). As determined by the overall remission of symptoms, group A’s efficacy was 79.4% at follow-up, whereas group B’s was 69.5% (p 0.017).

Conclusion: For those with NLDO, silicon intubation significantly boosts the efficacy of DCR when compared to DCR without intubation.


Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences Peshawar


Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences Peshawar


Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences Peshawar


Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences Peshawar


Department of Ophthalmology Hayatabad Medical Complex, Peshawar




Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences Peshawar

Email: drsaminakarim@yahoo.com

Mobile: 0333-51616042