Reliability of endoscopic dye transit test for prediction of functional success
            after diode laser and external dacryocystorhinostomy

Feijó, Eduardo Damous; Caixeta, Juliana Alves; Almeida, Adriana Ribeiro de; Limongi, Roberto; Matayoshi, Suzana

doi:10.5935/0004-2749.20200007

Cited by 5 publications

(2 citation statements)

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“…The key point of EE-DCR is in the formation of ostium. The main reasons for the failure of operation and poor postoperative curative effect include the proliferation of granulation tissue at the ostium, the closure and atresia of ostium and the poor drainage of tears [14][15][16]. In this study, the clinical cure standard of ostium was set as clear boundary, no adhesion around, no or only a small amount of granulation and polyp hyperplasia.…”

Section: Discussionmentioning

confidence: 99%

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Li,

Zhang,

et al. 2024

Preprint

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Objective Study and analyze the clinical effect of endoscopic dacryocystorhinostomy with decompression of lacrimal sac. Methods Prospective randomized controlled trail. 269 patients (302 eyes) with chronic dacryocystitis were diagnosed in Aier eye hospital of Wuhan university from February 2018 to September 2023, and all patients were underwent endoscopic dacryocystorhinostomy. According to the principle of double-blind random sampling, they were divided into two groups before surgery. Group A was treated with decompression of lacrimal sac during the operation, while the lacrimal sac decompression was not performed during operation in group B. Regular follow-up to 6mo postoperative was carried out to count the postoperative efficacy of two groups of patients. Results Five patients (6 eyes) lost to follow-up were removed, a total of 264 patients (296 eyes) were included in the comparative analysis in this study. 136 cases (151 eyes) in the group A were included in the comparative analysis, the cure rate was 82.78%, the improvement rate was 13.25%, the effective rate was 96.03%, and the inefficiency was 3.97%. While in group B, the cure rate of 128 cases (145 eyes) was 62.76%, the improvement rate was 26.90%, the effective rate was 89.66%, and the ineffective rate was 10.34%. The difference in efficacy between the two groups was statistically significant (χ2 = 15.147, P = 0.000). Conclusion Dacryocyst decompression performed during endoscopic dacryocystorhinostomy can improve the efficacy of surgery and reduce the occurrence of complications.

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Section: Discussionmentioning

confidence: 99%

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Li,

Zhang,

et al. 2024

Preprint

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“…Six patients had both endoscopic Jones I test and syringing positives and experienced postoperative epiphora, which can be demonstrated by a PPV of 88% (gap of 12%). Feijo et al 25,26 published an article demonstrating that the fluorescein transit test is more reliable to predict functional success than endoscopic Jones I test, showing a PPV of 97.4%. In their study, the dye transit time test ≤60 seconds indicated functional success.…”

Section: Discussionmentioning

confidence: 99%

Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Feijó

Caixeta

Matayoshi

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To compare the accuracy and positive predictive values of the air bubble test (ABT) and endoscopic Jones I test for assessment of anatomical and functional success after diode laser transcanalicular dacryocystorhinostomy (T-DCR). Methods: This cross-sectional study included 60 eyes of 56 patients who underwent T-DCR by a single surgical team from January 2016 to December 2018. All the 56 patients (60 eyes) underwent lacrimal syringing, endoscopic Jones I test, and ABT. Anatomical success was considered as a free passage of fluid with no reflux on the irrigation test. Functional success was defined as the resolution or improvement of epiphora (Munk score of 0 or 1). The results of irrigation test, endoscopic Jones I test, and ABT were used to calculate the accuracy and positive predictive values (PPVs) of ABT and endoscopic Jones I test for assessment of anatomical and functional success (Munk score of 0 or 1) after T-DCR. A value of p < 0.05 was considered statistically significant. All statistical evaluations were performed using SPSS software. Results: There were 60 T-DCR procedures in 56 patients (82.1% women; 46 patients) with a mean age of 56.4 years (standard deviation: 15.7; range from 29 to 92). The mean follow up was 8.1 months. Overall anatomical and functional success rates were 83.3% (50/60) and 73.3% (44/60), respectively. The PPV of endoscopic Jones I test in anatomical success and functional success was 100% and 88%, respectively. The accuracy of this test in anatomical and functional success was 100% and 81.25%, respectively. The PPV of ABT in anatomical success and functional success was 100% and 90.4%, respectively. The accuracy of this test in anatomical and functional success was 92% and 80.65%, respectively. Conclusions: In conclusion, both endoscopic Jones I test and ABT showed PPV of 100% to detect anatomical success after T-DCR; the endoscopic Jones I test and ABT had 88% and 90.4% of PPV on evaluation of functional success, respectively. Both tests showed good accuracy in the assessment of anatomical and functional success after T-DCR. These outcomes may indicate that ABT could substitute Jones I test on postoperative DCR assessment.

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Ostium Characteristics and Its Relevance in Successful Outcome Following Endoscopic Dacryocystorhinostomy

Tadke

Lahane

Lokhande

2020

Indian J Otolaryngol Head Neck Surg

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Study aims to assess the postoperative ostium shrinkage pattern and also attempted to evaluate various ostium parameters and their impact on surgical outcome by using DOS scoring system. Prospective study comprising 44 patients of NLD obstruction with 52 procedures performed during October 2016 to November 2018. Various dimensions of bony neo-ostium were recorded intraoperatively and during 1st, 3rd and 6th month follow up. Degree of ostium shrinkage and its correlation with anatomical and functional success was studied. DCR ostium (DOS) scoring system, comprised of ten various ostium parameters, was used to evaluate postoperative ostium. Intraoperative mean ostium height and width were 13.67 ± 2.76 mm and 7.0 ± 1.94 mm and surface area was 98.33 ± 38.46 mm 2 . Maximum ostium shrinkage (by 66.93%) occurred at 1 month and after which, average size of ostium was quite stable with little change. The anatomical and functional success rate was 94.23% and failure rate was 5.77%. DOS score was ''excellent'' in 40(75.92%), ''good'' in 9(17.31%) and ''poor'' in 3(5.77%) cases. Meticulous evaluation at regular intervals is important for surgeon to understand the characters of ostium during healing and also helps in early detection of pathologies and may facilitate early corrective intervention. We believe that DOS system provides an effective protocol to standardize the ostium evaluation. The ostium parameters with favourable surgical outcome are ostium location anterior to axilla of MT, circular/ oval shape with shallow base, size [ 8 9 5 mm, clearly visualized and dynamic ICO, absence of ostium cicatrization, granulomas, synechiae and other pathologies.

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Reliability of endoscopic dye transit test for prediction of functional success after diode laser and external dacryocystorhinostomy

Cited by 5 publications

References 0 publications

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

Ostium Characteristics and Its Relevance in Successful Outcome Following Endoscopic Dacryocystorhinostomy

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