Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Dec 2007)
EFFICACY OF DACRYOCYSTORHINOSTOMY WITH CATHETER INSERTION OR BODKIN TUBE IN THE TREATMENT OF NASOLACRIMAL OBSTRUCTION
Abstract
BACKGROUND AND OBJECTIVES: Treatment of nasolacrimal obstruction is controversial. The purpose of this study was to compare the efficacy of dacryocystorhinostomy (DCR) with catheter intubation or bodkin tube in the treatment of nasolacrimal obstruction. METHODS: This Quasi- experimental study was conducted on patients with lacrimal obstruction who referred to the department of ophthalmology, Babol Medical University from 1999 to 2006. All cases were treated with DCR with intubation or Bodkin tube. Catheter or bodkin tube was drawn out 3 weeks and 4 months, respectively. After treatment all cases were followed at a 3 month interval for one year. Success rates in these two treated groups were compared. FINDINGS: In group DCR with catheter, 79 cases (50 females, 29 males) with the mean age of 34 ± 16 years and in group bodkin tube, 103 cases (50 females, 53 males) with the mean age of 35± 0.5 years were treated. The mean age and sex distribution among these two treated groups were equal (p=0.052). The success rate with DCR with catheter intubation was 96.2% and DCR with Bodkin tube was 99.1%. Significant difference was not seen between two groups in treatment failure.CONCLUSION: Dacryocystorhinostomy with catheter intubation or bodkin tube both have the same efficacy for treatment of nasolacrimal obstruction. However the efficacy of dacryocystorhinostomy with Bodkin tube is associated with lower recurrence rate but the difference was not significant.
