Outcomes of external Dacryocystorhinostomy

ABSTRACT

To evaluate the outocmes and complications of dacryocystorhinostomy [DCR] in the ophthalmic centers of Yazd Medical Sciences University, Yazd, Iran. The outcomes of external DCR [EX-DCR] operation on 187 patients were evaluated. Patients were selected consecutively.Overall success rate was 90.4% [CI 95%; 86.3 - 94.5%]. Success rate was 90.9% in females and 89.1% in males [P= 0.543]. Regarding DCR method, success rate was 96.3% with silastic intubation and 88% without it [P= 0.08]. The more frequent and important complications of DCR were failure of treatment and recurrence of epiphora and purulent discharge [9.6%], unusual scar [8.6%], and infection [5.3%]. No major complications occurred during operation.External DCR is a relatively easy technique with a success rate of more than 90% with few complications. The procedure can be done in most ophthalmic centers