Różycki Radosław, Ulaszewska Katarzyna, Skrzypiec Łukasz
Department of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, Poland.
"Orbita" Medical Center, 03-808 Warsaw, Poland.
J Clin Med. 2024 Nov 25;13(23):7130. doi: 10.3390/jcm13237130.
Disruptions in lacrimal function can lead to various conditions, including chronic nasolacrimal duct obstruction and dacryocystitis, which may cause symptoms like excessive tearing, pain, and recurrent infections. In cases where pharmacological treatments are insufficient, surgical intervention becomes essential, which is widely used to restore effective tear drainage. This study evaluated postoperative outcomes of laser-assisted dacryocystorhinostomy (LDCR) in 48 patients, totaling 56 treated eyes, over a follow-up period of 6 months to 3.5 years. During the follow-up examination, patients completed the Glasgow Benefit Inventory questionnaire. The outcomes demonstrated significant improvements, particularly in the GBI total score (+35.07) and general subscale (+44.36), with minimal effects on social support and physical health subscales. LDCR proves to be an effective, minimally invasive alternative to traditional dacryocystorhinostomy, offering significant patient satisfaction, faster recovery, and reduced complications in treating nasolacrimal duct obstruction.
泪液功能紊乱可导致多种病症,包括慢性鼻泪管阻塞和泪囊炎,这些病症可能会引起流泪过多、疼痛和反复感染等症状。在药物治疗不足的情况下,手术干预就变得至关重要,手术被广泛用于恢复有效的泪液引流。本研究评估了48例患者(共56只治疗眼)在6个月至3.5年的随访期内激光辅助泪囊鼻腔造口术(LDCR)的术后效果。在随访检查期间,患者完成了格拉斯哥效益量表问卷。结果显示有显著改善,特别是在GBI总分(+35.07)和一般分量表(+44.36)方面,对社会支持和身体健康分量表的影响最小。LDCR被证明是传统泪囊鼻腔造口术的一种有效、微创的替代方法,在治疗鼻泪管阻塞方面能让患者有较高满意度、恢复更快且并发症更少。