Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Early Endonasal vs Delayed External Dacryocystorhinostomy for Acute Dacryocystitis – The ENDEAR Trial
Author: SHALIN SHAH
ePoster Number: 233
Purpose
The management for acute dacryocystitis is incision-drainage of the abscess, followed by dacryocystorhinostomy (DCR) after 2-4 weeks. Early intervention in the form of endoscopic endonasal DCR surgery can help with faster recovery. We present a study of 277 patients comparing the outcomes between early and delayed DCR.
Methods
277 patients of acute dacryocystitis presenting across 3 centres over 1 year were enrolled and randomised into 3 groups: A) Early endonasal DCR (eDCR), B) Delayed eDCR, C) Delayed external DCR. A single oculoplastic surgeon performed all the surgeries. Lacrimal intubation or anti-fibrotic agents were not used in any case to avoid confounding factors.
Results
The demographic distribution was similar among all 3 groups. Anatomical success rates were comparable at 96% (92/95), 98% (88/90), and 97% (89/92), with comparable ostium grading scores in groups A, B, and C, respectively. The mean number of hospital visits, mean duration of treatment, and mean time for pain relief were lower in group A, while group C had a lower mean surgical time and lower blood loss. The complication rate and failure rates were similar in all three groups.
Conclusion
The efficacy of eDCR is similar in the early and delayed periods, with lower total hospital visits in the early surgery group. It can be a useful intervention for resource-deficient areas, where disease-associated loss of work time results in a significant financial burden to the patient and family.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Nutan | Shah | SNEH Care, Vadodara, India |
| Uday | Gajiwala | Tejas Eye Hospital, Mandvi Surat, India |
Abstract ID: 25-326