Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy.

IF 2.1 4区 医学 Q2 OPHTHALMOLOGY Indian Journal of Ophthalmology Pub Date : 2025-02-01 Epub Date: 2024-09-19 DOI:10.4103/IJO.IJO_521_24
Rashmi A Dave, Suryasnata Rath, Devjyoti Tripathy, Samir Mahapatra, Mohd Hasnat Ali
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Abstract

Purpose: To compare the functional outcome and quality of life (QOL) index following non-endoscopic endonasal dacryocystorhinostomy (NEN-DCR) and external dacryocystorhinostomy (EXT-DCR).

Methods: Patients were prospectively allocated to two groups. All adult patients presenting with primary nasolacrimal duct obstruction (PANDO) undergoing EXT-DCR and NEN-DCR at a tertiary eye care center were included. Patients in one group underwent EXT-DCR and others NEN-DCR. Functional outcomes were measured by Munk Score and fluorescein dye disappearance test (FDDT). A validated quality of life questionnaire (EQ-5D-3L) in the local language (Odiya) was used to measure health status (social impact score) before and 1 day, 2 weeks, 6 weeks, and 3 months after surgery. The primary outcome measure was the functional outcome-Munk Score and secondary outcome measures included the QOL index and the FDDT.

Results: A total of 110 patients were recruited and equally distributed ( n = 55) in both groups. The mean age of the population was 47.6 years (SD = 14.02; range 20-79 years). The majority (71%, 79/110) were female. When longitudinally followed over time, functional outcome and QOL index showed reasonably rapid and marked improvement in both groups after surgery compared to baseline scores. The Munk score ( P = 0.037) and QOL index ( P = 0.007) were marginally better on the first postoperative day for the NEN-DCR group compared to EXT-DCR but comparable at all subsequent visits. At a median follow-up of 9 weeks (range: 0.5-24 weeks), the anatomical outcome was comparable between both groups.

Conclusion: Our results demonstrate that functional outcome and QOL index show rapid and marked improvement in both NEN-DCR and EXT-DCR after surgery. NEN-DCR outcomes were marginally better on the first postoperative day but comparable to EXT-DCR thereafter.

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鼻内与鼻外泪囊鼻腔造口术后的功能效果和生活质量指数。
目的:比较非内窥镜鼻腔内泪囊鼻腔吻合术(NEN-DCR)和鼻腔外泪囊鼻腔吻合术(EXT-DCR)的功能结果和生活质量(QOL)指数:前瞻性地将患者分为两组。所有在一家三级眼科医疗中心接受外侧泪囊鼻腔吻合术(EXT-DCR)和内侧泪囊鼻腔吻合术(NEN-DCR)治疗的原发性鼻泪管阻塞(PANDO)成人患者均被纳入其中。其中一组患者接受了EXT-DCR治疗,另一组患者接受了NEN-DCR治疗。功能结果通过蒙克评分和荧光素染料消失试验(FDDT)进行测量。使用当地语言(Odiya)的有效生活质量问卷(EQ-5D-3L)测量术前、术后1天、2周、6周和3个月的健康状况(社会影响评分)。主要结果指标是功能结果-蒙克评分,次要结果指标包括 QOL 指数和 FDDT:共招募了 110 名患者,两组患者人数相当(n = 55)。患者的平均年龄为 47.6 岁(SD = 14.02;年龄范围为 20-79 岁)。大多数(71%,79/110)为女性。经过长期的纵向追踪,两组患者术后的功能结果和 QOL 指数与基线分数相比都有了相当快速和显著的改善。与EXT-DCR相比,NEN-DCR组术后第一天的Munk评分(P = 0.037)和QOL指数(P = 0.007)略好于EXT-DCR组,但在其后的所有随访中均不相上下。在中位随访 9 周(范围:0.5-24 周)时,两组的解剖结果相当:结论:我们的研究结果表明,NEN-DCR 和 EXT-DCR 术后的功能结果和 QOL 指数均有快速、显著的改善。NEN-DCR术后第一天的结果略好于EXT-DCR,但之后的结果与EXT-DCR相当。
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来源期刊
CiteScore
3.80
自引率
19.40%
发文量
1963
审稿时长
38 weeks
期刊介绍: Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.
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