Abstract :
Aim: To compare the results of anterior flap suturing with excision of posterior flaps and both anterior &
posterior flaps suturing in external DCR
Materials and Methods:Total 46 patients were divided into 2 groups, 23 in each. In Group A cases with
anterior flap anastamosis were included and in group B cases with double flap suturing were included.
Comparison was done in terms of ease of procedure, total surgical time, recurrence and success rate. Mean
surgical time was evaluated in both the groups.
Results: Mean age in years was 53.56 7.19. Suturing the flaps was found convenient and easy in Group
A (91.30%) in comparison to group B (13.04%). Total mean surgical time was 55.09 3.96 minutes. In
Group A it was 51.43 0.99 minutes and in group B it was 58.74 1.78 minutes. In Group A mean
surgical time was less in comparison to group B and it was statistically highly significant. Success rate
assessed by patent syringing, was 91.30% in Group A and 95.65% in Group B.
Conclusion: Only anterior flap suturing with trimming of posterior flaps in comparison to double flap
anastamosis makes external DCR an easy and less time consuming procedure.
Keyword :
Anterior flap suturing, Chronic Dacryocystitis, DCR, Double flap anastamosis, Recurrence.