*Dr. Mohd. Ayaz Bhat, Dr. Waseem Raja and Dr. Irfan-Ul-Shamas


Purpose: The purpose of this study is to compare the success rates of endoscopic endo-nasal dacryocystorhinostomy and external DCR for the treatment of primary acquired nasolacrimal duct obstruction. Methods: Study was conducted for 1year duration in a district hospital pulwama with 100 cases of endoscopic and 60 cases of external DCR with a follow-up of minimum 6 months. Data regarding surgical outcome and complications were analysed and compared using χ2 test. Study was Prospective non-randomized comparative study. Results: Total 160 patients were included in the study, The mean age for endoscopic and external DCR was 33.6 years and 46.0 years, respectively. Mean duration of surgery was much lengthier in external (mean 119.6 minutes) than endoscopic (mean 49.0 minutes) DCR. Bleeding was the most common immediate postoperative complication seen in 33.3% and 10.0% of external and endoscopic DCR cases, respectively. Primary surgical success rate was 90% and 96.7% for endoscopic and external DCR, respectively (P = 0.046). Conclusion: Although both END- and EXT-DCRs provide satisfactory outcomes with similar objective and subjective success rates, There was no statistically significant difference between them. EN-DCR provided higher satisfaction due to quicker recovery and lack of external incision.

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