Changes of binocular surface indexes after unilateral endoscopic dacryocystorhinostomy
10.3980/j.issn.1672-5123.2024.3.28
- VernacularTitle:单眼内窥镜下鼻腔泪囊吻合术后双眼眼表指标的变化
- Author:
Xiaolin ZHANG
1
,
2
;
Meng LI
1
,
2
;
Keke ZHANG
1
,
2
;
Yan GONG
1
,
2
Author Information
1. School of Medicine, Ningbo University, Ningbo 315211, Zhejiang Province, China
2. Ningbo Aier Guangming Eye Hospital, Ningbo 315020, Zhejiang Province, China
- Publication Type:Journal Article
- Keywords:
dacryocystorhinostomy;
lacrimal gland functional unit;
nasolacrimal duct obstruction;
tear film stability;
lid wiper
- From:
International Eye Science
2024;24(3):479-483
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the effect of unilateral endoscopic dacryocystorhinostomy on binocular surface indexes.METHODS: Totally 45 cases with monocular primary acquired nasolacrimal duct obstruction(PANDO)who successfully underwent endoscopic dacryocystorhinostomy between 1 December 2022 and 31 July 2023 were enrolled in the study. Ocular surface indexes, including the non-invasive tear break-up time(NIBUT), Sjögren's International Collaborative Clinical Alliance ocular staining score(SICCA OSS), Korb score of lid wiper and Schirmer test scores, were collected preoperatively and at 0.5, 1 and 3 mo post-operatively. Subsequently, various indexes were compared at each time point between the operated and healthy eyes pre- and post-operatively.RESULTS: There was no significant differences between operated and healthy eyes in NIBUT, SICCA OSS, Korb scores and Schirmer test(all P>0.05). Furthermore, the Korb scores of operated eye at 0.5, 1 and 3 mo post-operatively were significantly lower than the preoperative value(P=0.034, 0.044, 0.027). Moreover, the Schirmer test score of the operated eye at 1 mo post-operatively was significantly lower than the preoperative value(P=0.0461).CONCLUSION:After a successful endoscopic dacryocystorhinostomy, tear drainage is restored, however, ocular surface damage worsens. These changes typically peak at 1 mo post-operatively before gradually improving.
