Comparative Analysis of Surgical outcome and Complications of DCR and DCR with Tube Intubation in Young Patients with Chronic Dacryocystitis.
Surgical outcome and Complications of DCR
Background: Purpose: To study surgical outcome and complications of DCR and DCR with tube intubation in young patient with chronic dacryocystitis. Subjects and Methods: A hospital based prospective randomized comparative clinical study conducted at Eye department Patna Medical College from 01.02.2018 to 30.01.2019 was done after taking approval of ethical committee of the institute. A total of 42 patients were recruited for the study and were randomly divided into two groups. Group A was DCR patients without intubation and group B was with intubation. The success rate, complications of each group was studied. Results: In group A, mean age of the patients was 26.6(+/- 4) with range of 21-34 years. In group B, mean age were 23.85 (+/-3.89) with range of 22-35 years. There were 9 males (21.40%) and 12 females (28.50%) in group A and 10 males (23.80%) and 11 females (26.10%) in Group B. Common intraoperative complications during surgery were bleeding from incision site due to angular vein injury, bleeding from nasal mucosa and nasal mucosal tearing. Success rate was 57.14% in non-intubated cases and 90.4% in intubated cases which was statistically significant. Fisher exact test statistics value (p= 0.0325)’. Conclusion: DCR with tube intubation may cause better success rate as compared to the DCR without tube intubation in young patients. However, larger population of this age group is needed to be studied for more longer period of time for a definitive conclusion.