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Simultaneous bilateral DCR shows no increase in complications
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Performing simultaneous bilateral external dacryocystorhinostomy does not appear to negatively affect surgical success or increase the rate of complications, according to a study by researchers in Turkey.
Bulent Yazici, MD, and Berna Akova, MD, of Uludag University in Bursa reviewed outcomes for 54 patients who were treated with the bilateral dacryocystorhinostomy (DCR) procedure for nasolacrimal duct obstruction between November 1999 and October 2005 at a mean age of 49 years.
Surgery was performed using local anesthesia and sedation in 54 of 59 patients (92%) and lasted for an average of 89 minutes.
Total intraoperative hemorrhage averaged 37 mL and ranged from 3 mL to 200 mL. But only five patients (9%) experienced excessive intraoperative hemorrhage of 100 mL or more, according to the study.
Postoperatively, one patient (2%) experienced early bleeding that required intranasal tamponade and one other patient (2%) developed bilateral wound infection, the authors said.
Overall, the surgical success rate was 95% at 8.8 months mean follow-up, they noted.
The study is published in the September issue of Acta Ophthalmologica Scandinavica.