A study to evaluate the effectiveness of conventional DCR and DCR implant method in chronic dacryocystitis

Abstract

Background: Dacryocystitis is inflammation of the lacrimal sac and nasolacrimal duct. It is a common clinical entity causing troublesome and conspicuous symptoms. It has tendency to recur and persist until definitive surgical treatment is performed. The present study was conducted to evaluate the effectiveness of conventional DCR and DCR implant method in chronic dacryocystitis. Material and methods: The present comparative study was conducted among 160 patients over a period of 1 year. A detailed history was noted. Depends on the investigations and fitness patient was operated by conventional D.C.R or D.C.R implants. The 50 cases were divide into two groups; Group A consisting of 80 cases which underwent conventional DCR technique whereas Group B consisting of 80 cases those were underwent Pawar’s implant DCR. Data regarding post-operative complications were analyzed. Results were expressed in percentage and p value less than 0.05 was considered as statistically significant. Results: In the present study total patients included were 160 in which 64.37% were males and 35.62% were females. Maximum patients were of age group 31-40 years (57.5%). In group A i.e. Conventional DCR the post-operative complications were Lip odema in 7.5% patients, incisionl odema in 10% patients, haemorrhage from nasal mucosa in 5% patients, wound gape in 2.5% patients, obstruction of passage in 7.5% patients, Hypertrophic scar in 12.5% patients, Sac infection in 0% patients. In group B i.e. Implant DCR the post-operative complications were Lip odema in 0% patients, incisionl odema in 5% patients, haemorrhage from nasal mucosa in 0% patients, wound gape in 0% patients, obstruction of passage in 8.75% patients, Hypertrophic scar in 3.75% patients, Sac infection in 3.75% patients. Post complications were less with Implant DCR.Conclusion: This study concluded that post complications were less with Implant DCR than conventional DCR.