Reliability of endoscopic dye transit test for prediction of functional success after diode laser and external dacryocystorhinostomy
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Citações na Scopus
2
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
CONSEL BRASIL OFTALMOLOGIA
Autores
FEIJO, Eduardo Damous
CAIXETA, Juliana Alves
ALMEIDA, Adriana Ribeiro de
LIMONGI, Roberto Murillo
Citação
ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, v.83, n.1, p.1-4, 2020
Resumo
Purpose: To determine the reliability of the endoscopic dye transit test for the prediction of functional success after dacryocystorhinostomy. Methods: A cross-sectional study was conducted with 50 patients who underwent external dacryocystorhinostomy Group or transcanalicular dacryocystorhinostomy Group and had anatomically patent ducts during irrigation, with a minimum 6-month follow-up. The external dacryocystorhinostomy, defined as the time from instillation of the dye into the conjunctival sac until its flow from the rhinostomy site, was performed in all patients. Positive predictive value of the endoscopic dye transit test to assess functional success was analyzed. The cutoff point was determined using a receiver operating characteristic curve. Results: Of the 50 patients, 44 (88%) exhibited subjective improvement or complete resolution of epiphora (functional success). The best cutoff point for the endoscopic dye transit test was 60 s. Of 39 patients with endoscopic dye transit test <= 60 s, 38 (97.4%) exhibited functional success, demonstrating a 97.4% positive predictive value. Conclusion: The endoscopic dye transit test <= 60 s is a reliable tool to predict functional success and good prognosis after external or laser transcanalicular dacryocystorhinostomy.
Palavras-chave
Lacrimal apparatus diseases, Dacryocystorhinostomy, Endoscopy, Nasolacrimal duct, Laser therapy/methods, Lasers, semiconductor, Predictive value of tests
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