Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy
Purpose: To compare the functional outcome and quality of life (QOL) index following non-endoscopic endonasal dacryocystorhinostomy (NEN-DCR) and external dacryocystorhinostomy (EXT-DCR). Methods: Patients were prospectively allocated to two groups. All adult patients presenting with primary nasolac...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-02-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_521_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087253805957120 |
|---|---|
| author | Rashmi A Dave Suryasnata Rath Devjyoti Tripathy Samir Mahapatra Mohd Hasnat Ali |
| author_facet | Rashmi A Dave Suryasnata Rath Devjyoti Tripathy Samir Mahapatra Mohd Hasnat Ali |
| author_sort | Rashmi A Dave |
| collection | DOAJ |
| description | Purpose:
To compare the functional outcome and quality of life (QOL) index following non-endoscopic endonasal dacryocystorhinostomy (NEN-DCR) and external dacryocystorhinostomy (EXT-DCR).
Methods:
Patients were prospectively allocated to two groups. All adult patients presenting with primary nasolacrimal duct obstruction (PANDO) undergoing EXT-DCR and NEN-DCR at a tertiary eye care center were included. Patients in one group underwent EXT-DCR and others NEN-DCR. Functional outcomes were measured by Munk Score and fluorescein dye disappearance test (FDDT). A validated quality of life questionnaire (EQ-5D-3L) in the local language (Odiya) was used to measure health status (social impact score) before and 1 day, 2 weeks, 6 weeks, and 3 months after surgery. The primary outcome measure was the functional outcome–Munk Score and secondary outcome measures included the QOL index and the FDDT.
Results:
A total of 110 patients were recruited and equally distributed (n = 55) in both groups. The mean age of the population was 47.6 years (SD = 14.02; range 20–79 years). The majority (71%, 79/110) were female. When longitudinally followed over time, functional outcome and QOL index showed reasonably rapid and marked improvement in both groups after surgery compared to baseline scores. The Munk score (P = 0.037) and QOL index (P = 0.007) were marginally better on the first postoperative day for the NEN-DCR group compared to EXT-DCR but comparable at all subsequent visits. At a median follow-up of 9 weeks (range: 0.5–24 weeks), the anatomical outcome was comparable between both groups.
Conclusion:
Our results demonstrate that functional outcome and QOL index show rapid and marked improvement in both NEN-DCR and EXT-DCR after surgery. NEN-DCR outcomes were marginally better on the first postoperative day but comparable to EXT-DCR thereafter. |
| format | Article |
| id | doaj-art-bc7b9bbca03c4f38a151bf15e5a028f3 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-bc7b9bbca03c4f38a151bf15e5a028f32025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173224424810.4103/IJO.IJO_521_24Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomyRashmi A DaveSuryasnata RathDevjyoti TripathySamir MahapatraMohd Hasnat AliPurpose: To compare the functional outcome and quality of life (QOL) index following non-endoscopic endonasal dacryocystorhinostomy (NEN-DCR) and external dacryocystorhinostomy (EXT-DCR). Methods: Patients were prospectively allocated to two groups. All adult patients presenting with primary nasolacrimal duct obstruction (PANDO) undergoing EXT-DCR and NEN-DCR at a tertiary eye care center were included. Patients in one group underwent EXT-DCR and others NEN-DCR. Functional outcomes were measured by Munk Score and fluorescein dye disappearance test (FDDT). A validated quality of life questionnaire (EQ-5D-3L) in the local language (Odiya) was used to measure health status (social impact score) before and 1 day, 2 weeks, 6 weeks, and 3 months after surgery. The primary outcome measure was the functional outcome–Munk Score and secondary outcome measures included the QOL index and the FDDT. Results: A total of 110 patients were recruited and equally distributed (n = 55) in both groups. The mean age of the population was 47.6 years (SD = 14.02; range 20–79 years). The majority (71%, 79/110) were female. When longitudinally followed over time, functional outcome and QOL index showed reasonably rapid and marked improvement in both groups after surgery compared to baseline scores. The Munk score (P = 0.037) and QOL index (P = 0.007) were marginally better on the first postoperative day for the NEN-DCR group compared to EXT-DCR but comparable at all subsequent visits. At a median follow-up of 9 weeks (range: 0.5–24 weeks), the anatomical outcome was comparable between both groups. Conclusion: Our results demonstrate that functional outcome and QOL index show rapid and marked improvement in both NEN-DCR and EXT-DCR after surgery. NEN-DCR outcomes were marginally better on the first postoperative day but comparable to EXT-DCR thereafter.https://journals.lww.com/10.4103/IJO.IJO_521_24dacryocystorhinostomyfunctionalnon-endoscopicquality of life |
| spellingShingle | Rashmi A Dave Suryasnata Rath Devjyoti Tripathy Samir Mahapatra Mohd Hasnat Ali Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy Indian Journal of Ophthalmology dacryocystorhinostomy functional non-endoscopic quality of life |
| title | Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| title_full | Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| title_fullStr | Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| title_full_unstemmed | Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| title_short | Functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| title_sort | functional outcome and quality of life index after endonasal versus external dacryocystorhinostomy |
| topic | dacryocystorhinostomy functional non-endoscopic quality of life |
| url | https://journals.lww.com/10.4103/IJO.IJO_521_24 |
| work_keys_str_mv | AT rashmiadave functionaloutcomeandqualityoflifeindexafterendonasalversusexternaldacryocystorhinostomy AT suryasnatarath functionaloutcomeandqualityoflifeindexafterendonasalversusexternaldacryocystorhinostomy AT devjyotitripathy functionaloutcomeandqualityoflifeindexafterendonasalversusexternaldacryocystorhinostomy AT samirmahapatra functionaloutcomeandqualityoflifeindexafterendonasalversusexternaldacryocystorhinostomy AT mohdhasnatali functionaloutcomeandqualityoflifeindexafterendonasalversusexternaldacryocystorhinostomy |