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Updated: Jun 12, 2025
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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CPAP complications after dacryocystorhinostomy: a narrative review
Arpan Sahoo1, Emily Kreibich1, Mark Tabor2
1University of South Florida Health Morsani College of Medicine, Tampa, Florida.
Summary
Continuous positive airway pressure (CPAP) use can cause ocular complications after dacryocystorhinostomy (DCR) surgery. Interventions exist, but many patients still struggle with CPAP adherence post-DCR.
Area of Science:
- Ophthalmology
- Sleep Medicine
- Surgical Complications
Background:
- Obstructive sleep apnea (OSA) frequently necessitates continuous positive airway pressure (CPAP) therapy.
- Dacryocystorhinostomy (DCR) surgery, performed to alleviate epiphora, can lead to complications with subsequent CPAP use.
Purpose of the Study:
- To review complications of CPAP use in patients following DCR surgery.
- To assess potential interventions for managing CPAP-related issues after DCR.
Main Methods:
- A systematic literature search was performed across major databases (PubMed, EMBASE, Web of Science, Scopus).
- A narrative review approach was adopted due to the predominantly case-report nature of the identified studies.
Main Results:
- Fourteen studies involving 49 patients were analyzed.
- Ocular air regurgitation during CPAP use occurred in 77.6% of patients.
- Interventions included CPAP mask changes, pressure modifications, and ophthalmic management (e.g., eye plugs, lubricants).
- Despite interventions, 36.7% of patients discontinued CPAP therapy due to persistent symptoms.
Conclusions:
- CPAP-related complications are frequent and challenging to manage after DCR.
- Various strategies can be employed to improve CPAP use and patient adherence post-DCR.
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