Clinical Results of Anti-adhesion Adjuvants after Endonasal Dacryocystorhinostomy
Korean Journal of Ophthalmology
;
: 433-437, 2018.
Article
in English
| WPRIM
| ID: wpr-719171
ABSTRACT
PURPOSE:
Various absorbable anti-adhesion agents have been used to prevent postoperative synechia formation after endonasal surgery. The purpose of this study was to evaluate the anti-adhesion effects of HyFence and Mediclore after endonasal dacryocystorhinostomy (DCR) compared to a mixed solution of hyaluronic acid and sodium carboxymethylcellulose (Guardix-Sol).METHODS:
In this retrospective study, endonasal DCR and silicone tube intubation were performed on 198 eyes of 151 patients. Three different anti-adhesion adjuvants were applied to the osteotomy site in the nasal cavity after standard endonasal DCR procedures. The subjects were classified into three respective groups group A (71 eyes, Guardix-Sol 1.5 g), group B (89 eyes, HyFence 1.5 mL), and group C (38 eyes, Mediclore 1 cc). The three groups were evaluated by asking patients about subjective symptoms and by performing lacrimal irrigation tests and endoscopic examinations.RESULTS:
There were no statistically significant differences in age, sex, timing of tube removal, or follow-up period among the three groups. There were no statistically significant differences in success rates among the three groups (p = 0.990, 91.5% [65 / 71], 92.1% [82 / 89], and 92.1% [35 / 38], respectively).CONCLUSIONS:
HyFence and Mediclore are safe and effective adjunctive modalities following endonasal DCR compared to Guardix-Sol. Therefore, these agents can be considered good alternatives to Guardix-Sol to increase the success rate of endonasal DCR in treating patients with poor prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Prognosis
/
Silicon
/
Silicones
/
Dacryocystorhinostomy
/
Carboxymethylcellulose Sodium
/
Retrospective Studies
/
Follow-Up Studies
/
Hyaluronic Acid
/
Intubation
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2018
Type:
Article
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