Outcomes of Conjunctivodacryocystorhinostomy (CDCR) Procedures: A Retrospective Analysis
Author: Dana Cohen
Base Hospital / Institution: Galilee Medical Center
ePoster presentation
Abstract ID: 25-431
Purpose
This study retrospectively analyzes the outcomes and complications of conjunctivodacryocystorhinostomy (CDCR) procedures performed for proximal lacrimal obstruction, focusing on the efficacy of the surgery and associated risks
Methods
A total of 23 eyes who underwent CDCR between February 2014 and May 2020 were included. Data on demographics, surgical approach, and postoperative outcomes were collected. The primary outcome was the resolution of epiphora, while secondary outcomes included complications such as tube extrusion, intrusion, and inflammation.
Results
: The mean patient age was 44 years (range: 15–80), with 70% being female. The success rate, defined as resolution of epiphora, was 85%. The mean follow-up period was 24 months. The most common complications were tube extrusion (20%) and intrusion (15%), followed by infection (10%), granulation tissue formation (10%), and dryness/irritation (25%). The mean time to tube extrusion was 9 months, while intrusion occurred at a mean of 8 months. Postoperative symptom scores showed significant improvement, with the MUNK scale score decreasing from 4.9 preoperatively to 1.3 postoperatively.
Conclusion
CDCR is an effective surgical intervention for proximal lacrimal obstruction, demonstrating high success rates and patient satisfaction. However, complications such as tube extrusion and intrusion highlight the need for optimized surgical techniques and careful patient selection. Further studies are warranted to assess long-term outcomes and refine procedural guidelines.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Yanir | Kassif | Galilee Medical Center |
| Relli | Ovadia | Galilee medical center |
| Tal | Marshak | Galilee Medical Center |
