A STUDY ON CLINICAL PROFILE AND OUTCOME OF CHRONIC DACRYOCYSTITIS IN ADULTS IN A TERTIARY CARE CENTER

Ramamani Dalai; Rajashree Rout; Samarendra Mohapatra; Sumita Mohapatra

Volume : VIII, Issue : IX, September - 2019

A STUDY ON CLINICAL PROFILE AND OUTCOME OF CHRONIC DACRYOCYSTITIS IN ADULTS IN A TERTIARY CARE CENTER

Ramamani Dalai, Rajashree Rout, Samarendra Mohapatra, Sumita Mohapatra

Abstract :

Introduction: Chronic Dacryocystitis presents with annoying Epiphora and many a times with purulent discharge. Complications like chronic intractable conjunctivitis, eczema of lower lid skin, lacrimal abscess or fistula formation, corneal ulceration, risk of developing endophthalmitis are cumbersome in untreated cases. Materials and methods: The present study was conducted amongst 139 patients of nasolacrimal duct (NLD) obstruction attending the Out Patients Department (OPD) of ophthalmology, S C.B Medical College, Cuttack during the period from October 2016 to September 2018. Out of 144 eyes of 139 patients suffering from chronic Dacryocystitis; 97 surgeries of Dacryocystorhinostomy (DCR) and 47 surgeries of Dacryocystectomy (DCY) was performed and followed up for 3 months. Result: The highest incidence of chronic dacryocystitis was observed in the 5th to 6th decades of age. Females outnumbered males. It was unilateral in most of the cases. No significant triggering factor could be attributed to in most of the cases. Conclusion: The technique of external DCR operation is a very economical and effective operation suitable in most Indian hospitals. Awareness for the early reporting of watering or mucopurulent discharge from the eyes is much more important for better outcome.