Ayintap Emre, Buttanri Ibrahim Bulent, Sadıgov Fariz, Serin Didem, Ozsutcu Mustafa, Umurhan Akkan Julide Canan, Tuncer Kemal
Department of Ophthalmology, Faculty of Medicine, Bezmialem Vakif University, Fatih, 34093 Istanbul, Turkey.
Haydarpaşa Numune Education and Research Hospital, Eye Clinic, 34668 Istanbul, Turkey.
J Ophthalmol. 2014;2014:913047. doi: 10.1155/2014/913047. Epub 2014 Jun 9.
Purpose. To assess the prognostic value of age on the outcome of transcanalicular multidiode laser dacryocystorhinostomy (TCL-DCR) in patients with acquired nasolacrimal duct obstruction (NLDO). Methods. The medical records of TCL-DCR performed between March 2009 and September 2013 were reviewed retrospectively. Inclusion criteria include over 20 years of age, similar mean follow-up period, and similar mean duration of stenting. The main outcome is surgical success. The effect of age on success rate is also evaluated. Results. The anatomical success was 52% in Group 1 (20-30 years), 56% in Group 2 (31-40 years), 64% in Group 3 (41-50 years), 76% in Group 4 (51-60 years), and 88% in Group 5 (over 60 years). The statistical difference among Group 1 and Group 5, in terms of surgical success rate, was found to be significant (P = 0.009). Additionally, the 20-30-year-old patients had a failure rate 6.76 times higher than that of the over-60-year-old patients (P = 0.009; 95% CI, 1.605-28.542). Conclusion. TCL-DCR is a surgical treatment option for NLDO for which a skin incision can be avoided. The success rate of TCL-DCR for younger population is lower when compared with elderly population.
目的。评估年龄对后天性鼻泪管阻塞（NLDO）患者经泪小管多二极管激光泪囊鼻腔造口术（TCL-DCR）预后的影响。方法。回顾性分析2009年3月至2013年9月期间接受TCL-DCR治疗的患者病历。纳入标准包括年龄超过20岁、平均随访期相似以及支架置入平均持续时间相似。主要结局指标为手术成功率。同时评估年龄对成功率的影响。结果。第1组（20 - 30岁）的解剖学成功率为52%，第2组（31 - 40岁）为56%，第3组（41 - 50岁）为64%，第4组（51 - 60岁）为76%，第5组（60岁以上）为88%。发现第1组和第5组在手术成功率方面存在显著统计学差异（P = 0.009）。此外，20 - 30岁患者的失败率比60岁以上患者高6.76倍（P = 0.009；95%置信区间，1.605 - 28.542）。结论。TCL-DCR是一种可避免皮肤切口的NLDO手术治疗选择。与老年人群相比，TCL-DCR在年轻人群中的成功率较低。
