Article

Aerocyst urethral catheter insertion compared to expansion sponges application in external dacryocystorhinostomy.

Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
International journal of ophthalmology 01/2011; 4(5):498-501. DOI:10.3980/j.issn.2222-3959.2011.05.08
Source: PubMed

ABSTRACT To evaluate the clinical effect and complications of two different filling materials (aerocyst urethral catheter and expansion sponges) applying in external dacryocystorhinostomy (EXT-DCR) and compare their advantages and disadvantages.
A retrospective study was made in the period from April, 1 2000 to April, 1 2005. Totally 180 patients (240 eyes) underwent the EX-DCR using different filling materials and divided into three groups randomly: negative control groups (group 1), expansion sponges group (group 2) and aerocyst urethral catheter group (group 3). The gender, etiology, clinical findings, surgical technique, filling materials, the condition of ocular surface and complications were analyzed. Filling materials were removed during day 7. Postoperative success was determined by lacrimal patency to irrigation, a positive dye test, hemorrhage and errhysis conditions after extubation and subjective resolution of epiphora and liquor puris.
During a mean follow-up of 5.14±1.69 years, the success rate were 73.7% (group 1), 86.5% (group 2), 98.7% (group 3) in three groups. There was significant statistical difference among three groups in the surgical success rate and the operative complications (including hemorrhage, errhysis, periorbital ecchymosis after extubation)(P<0.05).
EXT-DCR with aerocyst urethral cathete intraoperatively have higher success rate, fewer operative complications and a high patient satisfaction ,and can be used to simplify and speed up traditional EXT-DCR.

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    Article: Four-year experience with intranasal transilluminating dacryocystorhinostomy using ultrasound.
    Emmanuel Pelegrinis, Antonis Morphopoulos, George Georgoulopoulos, Kostas Kapogiannis, Spyros Papaspyrou
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Keywords

aerocyst urethral cathete intraoperatively
 
aerocyst urethral catheter
 
aerocyst urethral catheter group
 
clinical findings
 
day 7. Postoperative success
 
disadvantages
 
errhysis conditions
 
external dacryocystorhinostomy
 
Filling materials
 
groups randomly
 
lacrimal patency
 
liquor puris
 
negative control groups
 
ocular surface
 
operative complications
 
periorbital ecchymosis
 
positive dye test
 
retrospective study
 
subjective resolution
 
surgical success rate