ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Evaluation Of The Relationship Between The Sac Size In Lipiodol Dacryocystography And The Surgical Success Of External Dacryocystorhinostomy
Dr.Abuzer GÜNDÜZa
aGöz Kliniği, Hasan Çalık Devlet Hastanesi, MALATYA
Objective: To evaluate the relationship between the sac size in lipiodol dacryocysrography (DCG) and the surgical success rate of external dacryocystorhinostomy (DCR).Material and Methods: This study included 30 lacrimal sac of 30 patients (24 men, 15 women) with distal nasolacrimal duct obstruction underwent external DCR. The cases were divided into two equal groups (each, n = 15) according to the sac size in DCG. Group 1 consisted of the larger sacs while group 2 included the smaller sacs. After lipiodol DCG, vertical and horizontal sizes of all sacs were measured by a millimeter caliper on DCG and the values were recorded according to the groups. Surgical success was accepted as the absence of epiphora and open lacrimal passage with irrigation.Results: Mean vertical sac size of group 1 (12.6 ± 2.4 mm) was significantly (P < 0.01) higher than group 2 (6.4 ± 1.5 mm). On the other hand, the difference for horizontal sac size between the groups was not different (6.6 ± 1.4 ve 5.7 ± 0.8 mm, P > 0.05). Surgical success was 100% and 73.4% in groups 1 and 2, respectively. Conclusion: Preoperative vertical sac size seems to be important in surgical success rate of external DCR. Therefore, the measurement of the vertical sac size may be used as a predictive value in such cases.Keywords: External dacryocystorhinostomy, lipiodol dacryocysrographyTurkiye Klinikleri J Ophthalmol 2004, 13:134-137
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