Characteristics in Patients with and without Previous Dacryocystitis and Satisfaction after Endonasal Dacryocystorhinostomy

Jinhyun Kim; Hochang Kim

doi:10.3341/jkos.2017.58.1.1

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Kim and Kim: Characteristics in Patients with and without Previous Dacryocystitis and Satisfaction after Endonasal Dacryocystorhinostomy

Original Article

J Korean Ophthalmol Soc 2017;58(1):1-6.

Published online: 30 August 2017

DOI: https://doi.org/10.3341/jkos.2017.58.1.1

Characteristics in Patients with and without Previous Dacryocystitis and Satisfaction after Endonasal Dacryocystorhinostomy

Jinhyun Kim, M.D, Hochang Kim, MD, PhD

Department of Ophthalmology, Dongguk University College of Medicine, Gyeongju, Korea

Address reprint requests to Hochang Kim, MD, PhD Department of Ophthalmology, Dongguk University Gyeongju Hospital, #87 Dongdae-ro, Gyeongju 38067, Korea Tel: 82-54-770-8256, Fax: 82-54-772-9618 E-mail: ophho@hanmail.net

Received 14 July 201628 September 2016 Accepted 10 December 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To compare characteristics in patients with and without previous dacryocystitis and satisfaction after endoscopic dacryocystorhinostomy.

Methods

We retrospectively analyzed 156 eyes of 116 patients who underwent endoscopic dacryocystorhinostomy at our Hospital from May 2011 to December 2015. The patients were grouped into those with pre-operative dacryocystitis and those without dacryocystitis. Each patient group was characterized retrospectively, followed by a telephone survey regarding post-op-erative satisfaction.

Results

Fifty-eight patients (66 eyes) had dacryocystitis, whereas 58 patients (90 eyes) did not. Patients' mean age was 64.9 years old. The mean duration of symptoms in patients with and without dacryocystitis was 11 and 20 months, respectively, show-ing a statistically significant difference ( p < 0.05). The correlation between comorbidities and dacryocystitis was statistically insig-nificant ( p > 0.05). Post-operative satisfaction was higher in patients with dacryocystitis, showing a statistically significant differ-ence ( p < 0.05).

Conclusions

Patients with pre-operative dacryocystitis were characterized by a shorter duration of symptoms and higher post-operative satisfaction. This finding implies that post-operative satisfaction could be lower in patients without dacryocystitis, which should be noted.

Keywords: Dacryocystitis, Endonasal dacryocystorhinostomy, Satisfaction

References

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Table 1.

Demographics and characteristics of the patients

	No past dacryocystitis	Past dacryocystitis	Total	p-value
Sex (male:female)	22:36	20:38	42:74	0.080^*
Age (years)	63.7 ± 2.7	66.1 ± 4.6	64.9 ± 3.6	0.101^†
Duration of epiphora (months)	20.3 ± 4.8	11.7 ± 4.8	16.0 ± 4.8	0.002^†

Values are presented as mean ± SD unless otherwise indicated.

^* p-value by Pearson’s chi square test

^† p-value by independent t-test.

Table 2.

Comorbidities

	No past dacryocystitis	Past dacryocystitis	Total	p-value^*
Hyperlipidemia	12 (20.6)	14 (24.1)	26 (22.4)	0.851
Diabetes mellitus type 2	4 (12.1)	8 (13.7)	12 (15.5)	0.594
Hypertension	24 (41.3)	28 (48.2)	52 (44.8)	2.427
Ischemic heart disease	8 (13.7)	4 (7.0)	12 (10.3)	0.214
Glaucoma	2 (3.4)	4 (6.8)	6 (5.1)	0.758

Values are presented as n (%) unless otherwise indicated.

^* p-value by Pearson’s chi square test.

Table 3.

Comparison of response to the questions

	No past dacryocystitis	Past dacryocystitis	p-value^*
Score of satisfaction question	2.2 ± 0.6	2.6 ± 0.5	0.004
Score of symptom question	2.2 ± 0.7	2.5 ± 0.7	0.018

Values are presented as mean ± SD unless otherwise indicated.

^* p-value by Mann-Whitney U-test.

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