SUCCESS OF DACRYOSYSTORHINOSTOMY WITH SILICONE TUBE IN TREATMENT OF PATIENTS WITH CHRONIC DACRYOCYSTITIS.

One of the most common causes of Epiphora or abnormal tearing or recurrent infection is Dacryocystitis. The Dacryocystorhinostomy involves fistulization of the lacrimal sac into the nasal cavity which may alleviate the symptoms. This research was performed to study three year results of the DCR with silicone tube in patients who had Dacryocystitis in Urmia Imam Khomeini Hospital , during 2004-2006.

Materials & Methods: This cross sectional and descriptive study was performed on 189 patients who referred to Imam Khomeini Hospital of Urmia. All patients who underwent DCR in three years during 2004-2006 were studied . The d ata were collected using a questioner including age, sex, form of the affection, the affected eye, complete recovery or a relative one, etc, then the results were analyzed in SPSS software using descriptive, Chi-square and Fisher tests.

Results: In this study, 194 eyes of 189 patients (50 males, 139 females) were studied. The average age of the patients was 46.22 years old (rang 30 - 60 years). Common presentations were epiphora and purelant discharge (56.1 %). Five of them had (2.7 %) bilateral involving and 184 (97.3%) had unilateral one. From 189 patients, 102 (20 male & 82 female) were followed up as they collaborated. The surgeries were successful in 84 cases (82.4 %).

Conclusion: This study showed that the patients over 60 years old were more successful than the others. The rate of recovery among unilateral groups was more than bilateral ones. The rate of recovery is high at over 60 year old groups, so it is recommended that the patients of this group undertake a therapy with DCR.