Health Condition 1: H043- Acute and unspecified inflammationof lacrimal passages Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: Early Endonasal Endoscopic Dacryocystorhinostomy surgery: Endoscopic DCR surgery to be done within 7 days of presentation
Control Intervention1: Delayed endoscopic endonasal Dacryocysto
Sponsors
Divyajyot eye trust
Eligibility
Inclusion criteria
Inclusion criteria: All patients with - 1. Age between 18 â?? 50 years at enrolment 2. Acute or subacute dacryocystitis at presentation 3. Roomy ipsilateral nasal cavity
Exclusion criteria
Exclusion criteria: All known cases of - 1. Coronary Artery Disease or cerebro-vascular disease patients on on anti-coagulation therapy, and patients of Bleeding disorders or coagulopathy 2. Ongoing Pregnancy or planning a pregnancy during follow-up period 3. Hypertension 4. Nasal pathologies like atrophic rhinitis, nasal polyps, turbinate hypertrophy, deviated nasal septum etc 5. Concurrent active upper respiratory tract infection, sinusitis, or orbital cellulitis 6. Prior failed external DCR or endonasal DCR 7. Concurrent punctal stenosis, proximal or distal canalicular block 8. Past history of nasal trauma, mucormycosis, nasal malignancies, or past endoscopic endonasal surgeries for nasal pathologies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| percentage of anatomical and functional success at the end of follow-up period.Timepoint: Check anatomical success - baseline and 6 months Check functional success - baseline, 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| decrease in epiphora and pain, days for complete resolution of pain and swelling, endoscopic assessment of ostium, socioeconomic impact of treatment for acute dacryocystitisTimepoint: 6 months | — |
Countries
India
Contacts
Public ContactDr Shalin Shah
Divyajyot trust eye hospital
Outcome results
None listed