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Updated: Jul 16, 2026
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Impact of postoperative self-care on early outcomes in endoscopic dacryocystorhinostomy: a retrospective
Xinyu Zheng1, Yunming Liu1, Xinyue Yu1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, 54 South Xianlie Road, Guangzhou, 510060, China.
Purpose:
This study aimed to evaluate the influence of standardized postoperative self-care protocols on short-term surgical outcomes in patients undergoing endoscopic dacryocystorhinostomy (En-DCR).
Methods:
This study evaluated the early prognosis (1 month) and personal care of 90 patients with 94 eyes who underwent endoscopic dacryocystorhinostomy (En-DCR) for Chronic dacryocystitis (CD). Surgical outcomes were divided into ostium grade and operative effect. Operative effect was judged by subjective symptom improvement, in addition to ostium assessment based on the results of nasal endoscopic review. We investigated the correlation between operative effect and ostium grade, and further analyzed the key factors influencing these outcomes during postoperative personal care.
Results:
The results of correlation analysis between operative effect and objective indicators showed that the outcomes of lacrimal duct irrigation (r = 0.444, P < 0.001), dye disappearance test (r = 0.217, P = 0.036), and ostium grade (r = 0.350, P < 0.001) were positively correlated with the operative effect of patients. The analysis of influencing factors during postoperative nursing showed that patients with nasal saline rinsing at least once a day after operation, nasal spray (Xylometazoline Hydrochloride and Budesonide) at least once a day after operation and without postoperative respiratory tract infection had better ostium grades and operative effect (P < 0.05).
Conclusions:
The early operative effect of endoscopic dacryocystorhinostomy (En-DCR) is closely related to the condition of the ostium. During postoperative personal care, patients who maintain nasal saline rinsing and nasal spray (Xylometazoline Hydrochloride and Budesonide) at least once a day and reasonably prevent respiratory tract infection tend to have better recovery of early postoperative ostium and better operative effect. Medical staff should strengthen the home nursing guidance for patients after En-DCR day surgery.
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