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Outpatient dacryocystorhinostomy
S C Dresner1, K G Klussman, D R Meyer
1Division of Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, UCLA School of Medicine.
Ophthalmic Surgery
|April 1, 1991
Summary
Outpatient dacryocystorhinostomy (surgery to create a new opening for tear drainage) is a safe and successful procedure for most patients. This approach offers a high success rate with minimal complications when immediate inpatient care is accessible.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Dacryocystorhinostomy (DCR) is a surgical procedure to restore tear drainage.
- Outpatient surgery offers potential benefits but requires careful patient selection and monitoring.
Purpose of the Study:
- To evaluate the safety and efficacy of outpatient dacryocystorhinostomy.
- To assess patient outcomes and complication rates for same-day surgery.
Main Methods:
- Conducted 105 outpatient dacryocystorhinostomy procedures on 87 patients.
- Utilized local or general anesthesia.
- Monitored patients for immediate and delayed post-operative complications.
Main Results:
- Achieved a 94% success rate.
- 14 patients (13%) required post-operative admission, primarily for epistaxis (nosebleeds).
- No serious complications directly related to the outpatient setting were observed.
Conclusions:
- Outpatient dacryocystorhinostomy is a safe and effective surgical option.
- Patient acceptance is high, with a high success rate.
- Readily available inpatient facilities are crucial for managing potential complications.