Outcomes in paediatric external dacryocystorhinostomy: a single-centre experience

Area of Science:

• Ophthalmology
• Pediatric Surgery

Background:

• Nasolacrimal duct obstruction (NLDO) is a common condition in children.
• External dacryocystorhinostomy (Ext DCR) is a surgical option for refractory cases.

Purpose of the Study:

• To evaluate the outcomes of Ext DCR in pediatric patients.
• To determine the success rates and identify causes of failure.

Main Methods:

• Retrospective, single-center case series of pediatric patients undergoing Ext DCR.
• Data collection included demographics, diagnosis, interventions, complications, and success rates.
• Standard Ext DCR protocol with anterior flap suturing was employed.

Main Results:

• 135 eyes of 114 children underwent Ext DCR.
• Epiphora was the most common presentation (92.5%).
• Anatomical and functional success rates at 6 months were 91.1% and 90.3%, respectively.

Conclusions:

• Ext DCR demonstrates high safety and efficacy in pediatric populations.
• Success rates exceeding 90% were achieved.
• Complete cicatricial closure of the ostium was the primary cause of failure.