{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T02:02:05Z","timestamp":1771552925721,"version":"3.50.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"DOI":"10.1007\/s10792-026-03993-0","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T13:05:59Z","timestamp":1771506359000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral simultaneous external dacryocystorhinostomy: outcomes and patient satisfaction in a single-stage approach"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9607-1425","authenticated-orcid":false,"given":"Nur\u015fen \u00d6ncel","family":"Ac\u0131r","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tu\u011fba G\u00f6nc\u00fc","family":"F\u0131rat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamile","family":"Demir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"3993_CR1","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1007\/978-81-322-2020-6_13","volume-title":"Principles and practice of lacrimal surgery","author":"S Kamal","year":"2015","unstructured":"Kamal S, Ali MJ (2015) Primary acquired nasolacrimal duct obstruction (PANDO) and secondary acquired lacrimal duct obstructions (SALDO). In: Ali MJ (ed) Principles and practice of lacrimal surgery. Springer, New Delhi, pp 133\u2013141"},{"issue":"8","key":"3993_CR2","first-page":"45","volume":"1","author":"KS Ceylanoglu","year":"2023","unstructured":"Ceylanoglu KS, Acar A, Sen E (2023) Overview of Epiphora Referred to Oculoplastic Surgery Clinic in Adults. Beyoglu Eye J 1(8):45\u201349","journal-title":"Beyoglu Eye J"},{"issue":"3","key":"3993_CR3","doi-asserted-by":"publisher","first-page":"251","DOI":"10.4103\/jovr.jovr_133_17","volume":"12","author":"AJ Amadi","year":"2017","unstructured":"Amadi AJ (2017) Endoscopic DCR vs external DCR: what\u2019s best in the acute setting? J Ophthalmic Vis Res 12(3):251\u2013253. https:\/\/doi.org\/10.4103\/jovr.jovr_133_17","journal-title":"J Ophthalmic Vis Res"},{"key":"3993_CR4","first-page":"385","volume":"10","author":"A Toti","year":"1904","unstructured":"Toti A (1904) Nuovo metodo conservatore di cura radicale delle suporazioni chroniche del sacco lacrimale. Clin Mod Firenze 10:385\u2013389","journal-title":"Clin Mod Firenze"},{"issue":"7","key":"3993_CR5","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1016\/s0161-6420(95)30910-4","volume":"102","author":"KJ Tarbet","year":"1995","unstructured":"Tarbet KJ, Custer PL (1995) External dacryocystorhinostomy. Surgical success, patient satisfaction, and economic cost. Ophthalmology 102(7):1065\u20131070. https:\/\/doi.org\/10.1016\/s0161-6420(95)30910-4","journal-title":"Ophthalmology"},{"issue":"1","key":"3993_CR6","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/s0161-6420(02)01452-5","volume":"110","author":"PJ Dolman","year":"2003","unstructured":"Dolman PJ (2003) Comparison of external dacryocystorhinostomy with nonlaser endonasal dacryocystorhinostomy. Ophthalmology 110(1):78\u201384. https:\/\/doi.org\/10.1016\/s0161-6420(02)01452-5","journal-title":"Ophthalmology"},{"issue":"3","key":"3993_CR7","doi-asserted-by":"publisher","first-page":"220","DOI":"10.3928\/1542-8877-20010501-08","volume":"32","author":"HA Ibrahim","year":"2001","unstructured":"Ibrahim HA, Batterbury M, Banhegyi G, McGalliard J (2001) Endonasal laser dacryocystorhinostomy and external dacryocystorhinostomy outcome profile in a general ophthalmic service unit: a comparative retrospective study. Ophthalmic Surg Lasers 32(3):220\u2013227","journal-title":"Ophthalmic Surg Lasers"},{"issue":"1","key":"3993_CR8","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/S0039-6257(02)00397-1","volume":"48","author":"LM Watkins","year":"2003","unstructured":"Watkins LM, Janfaza P, Rubin PA (2003) The evolution of endonasal dacryocystorhinostomy. Surv Ophthalmol 48(1):73\u201384","journal-title":"Surv Ophthalmol"},{"issue":"6","key":"3993_CR9","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1111\/j.1600-0420.2007.00908.x","volume":"85","author":"B Yazici","year":"2007","unstructured":"Yazici B, Akova B (2007) Simultaneous bilateral external dacryocystorhinostomy. Acta Ophthalmol 85(6):667\u2013670. https:\/\/doi.org\/10.1111\/j.1600-0420.2007.00908.x","journal-title":"Acta Ophthalmol"},{"issue":"8","key":"3993_CR10","doi-asserted-by":"publisher","first-page":"e726","DOI":"10.1097\/SCS.0000000000003046","volume":"27","author":"C Bayraktar","year":"2016","unstructured":"Bayraktar C, Karada\u011f AS, Do\u011fan S, \u015eim\u015fek A, Kaskalan E, \u00c7apkin M (2016) Simultaneous bilateral endonasal endoscopic dacryocystorhinostomy: a low cost, fast, and successful method. J Craniofac Surg 27(8):e726\u2013e728. https:\/\/doi.org\/10.1097\/SCS.0000000000003046","journal-title":"J Craniofac Surg"},{"issue":"14","key":"3993_CR11","doi-asserted-by":"publisher","first-page":"1174404","DOI":"10.3389\/fpsyt.2023.1174404","volume":"8","author":"Y Guo","year":"2023","unstructured":"Guo Y, Wu D, Jin Y, Tian Y, Li X (2023) Prevalence and risk factors for depression and anxiety in patients with nasolacrimal duct obstruction. Front Psychiatry 8(14):1174404. https:\/\/doi.org\/10.3389\/fpsyt.2023.1174404","journal-title":"Front Psychiatry"},{"issue":"2","key":"3993_CR12","doi-asserted-by":"publisher","first-page":"50","DOI":"10.5281\/zenodo.11317613","volume":"4","author":"B K\u0131z\u0131ltas","year":"2024","unstructured":"K\u0131z\u0131ltas B, Fidanc\u0131 \u0130 (2024) Anxiety and depression levels of patients undergoing external dacryocystorhinostomy for tear duct obstruction. IJCMBS 4(2):50\u201354. https:\/\/doi.org\/10.5281\/zenodo.11317613","journal-title":"IJCMBS"},{"issue":"7","key":"3993_CR13","doi-asserted-by":"publisher","first-page":"1882","DOI":"10.4103\/ijo.IJO_3043_20","volume":"69","author":"K Dani","year":"2021","unstructured":"Dani K, Yadalla D, Joy A, Wu AM, Jayagayathri R (2021) Subjective outcome and quality of life following external dacryocystorhinostomy. Indian J Ophthalmol 69(7):1882\u20131886. https:\/\/doi.org\/10.4103\/ijo.IJO_3043_20","journal-title":"Indian J Ophthalmol"},{"issue":"4","key":"3993_CR14","doi-asserted-by":"publisher","first-page":"446","DOI":"10.4193\/Rhino10.069","volume":"48","author":"G Smirnov","year":"2010","unstructured":"Smirnov G, Tuomilehto H, Kokki H, Kemppainen T, Kiviniemi V, Nuutinen J, Kaarniranta K, Seppa J (2010) Symptom score questionnaire for nasolacrimal duct obstruction in adults--a novel tool to assess the outcome after endoscopic dacryocystorhinostomy. Rhinology 48(4):446\u2013451. https:\/\/doi.org\/10.4193\/Rhino10.069","journal-title":"Rhinology"},{"issue":"4","key":"3993_CR15","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1097\/MLR.0b013e31815ceca9","volume":"46","author":"PF Krabbe","year":"2008","unstructured":"Krabbe PF (2008) Thurstone scaling as a measurement method to quantify subjective health outcomes. Med Care 46(4):357\u2013365. https:\/\/doi.org\/10.1097\/MLR.0b013e31815ceca9","journal-title":"Med Care"},{"issue":"4","key":"3993_CR16","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1097\/MLR.0b013e31816dd8d9","volume":"46","author":"A Maydeu-Olivares","year":"2008","unstructured":"Maydeu-Olivares A, B\u00f6ckenholt U (2008) Modeling subjective health outcomes: top 10 reasons to use Thurstone\u2019s method. Med Care 46(4):346\u2013348. https:\/\/doi.org\/10.1097\/MLR.0b013e31816dd8d9","journal-title":"Med Care"},{"issue":"7","key":"3993_CR17","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.63683","volume":"16","author":"H Aboauf","year":"2024","unstructured":"Aboauf H, Alawaz RA (2024) Success rate of external dacryocystorhinostomy with and without stent. Cureus 16(7):e63683. https:\/\/doi.org\/10.7759\/cureus.63683","journal-title":"Cureus"},{"issue":"3","key":"3993_CR18","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1097\/00002341-198909000-00006","volume":"5","author":"JJ Hurwitz","year":"1989","unstructured":"Hurwitz JJ, Mishkin S (1989) Bilateral simultaneous dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg 5(3):186\u2013188. https:\/\/doi.org\/10.1097\/00002341-198909000-00006","journal-title":"Ophthalmic Plast Reconstr Surg"},{"issue":"1","key":"3993_CR19","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3109\/08820538.2013.810282","volume":"30","author":"D Yuksel","year":"2015","unstructured":"Yuksel D, Kosker M, Akoz I, Simsek S (2015) Long-term results of simultaneous bilateral external dacryocystorhinostomy in cases with bilateral dacryostenosis. Semin Ophthalmol 30(1):20\u201324. https:\/\/doi.org\/10.3109\/08820538.2013.810282","journal-title":"Semin Ophthalmol"},{"issue":"1","key":"3993_CR20","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1177\/1120672121994347","volume":"32","author":"Y Weinberger","year":"2022","unstructured":"Weinberger Y, Soudry E, Avisar I (2022) Simultaneous bilateral or sequential DCR? What to choose? Eur J Ophthalmol 32(1):102\u2013107. https:\/\/doi.org\/10.1177\/1120672121994347","journal-title":"Eur J Ophthalmol"},{"issue":"6","key":"3993_CR21","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1038\/sj.eye.6700470","volume":"17","author":"R Malhotra","year":"2003","unstructured":"Malhotra R, Wright M, Olver JM (2003) A consideration of the time taken to do dacryo-cystorhinostomy (DCR) surgery. Eye Lond 17(6):691\u2013696. https:\/\/doi.org\/10.1038\/sj.eye.6700470","journal-title":"Eye Lond"},{"key":"3993_CR22","unstructured":"K\u0131z\u0131lta\u015f B, Fidanc\u0131 A \u0130zzet. Anxiety and depression levels of patients undergoing external dacryocystorhinostomy (DCR) for tear duct obstruction: Dacryocystorhinostomy, Anxiety, Depression. \u0130JCMBS [Internet]. 2024 May 28 [cited 2025 May 27];4(2):50\u20134."},{"key":"3993_CR23","unstructured":"Luo Q, Zhou H, Yang R, Li M, Huang D, Zhou X, Du F. Effect of care bundles on postoperative pain, negative emotions, and self-care ability of patients with acute dacryocystitis. Am J Transl Res. 2021 15;13(4):2794\u20132803."},{"issue":"2","key":"3993_CR24","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1159\/000083268","volume":"219","author":"K Mansour","year":"2005","unstructured":"Mansour K, Sere M, Oey AG, Bruin KJ, Blanksma LJ (2005) Long-term patient satisfaction of external dacryocystorhinostomy. Ophthalmologica 219(2):97\u2013100. https:\/\/doi.org\/10.1159\/000083268","journal-title":"Ophthalmologica"},{"issue":"4","key":"3993_CR25","doi-asserted-by":"publisher","first-page":"286","DOI":"10.3109\/02713683.2012.658488","volume":"37","author":"B Yeniad","year":"2012","unstructured":"Yeniad B, Uludag G, Kozer-Bilgin L (2012) Assessment of patient satisfaction following external versus transcanalicular dacryocystorhinostomy with a diode laser and evaluation if change in quality of life after simultaneous bilateral surgery in patients with bilateral nasolacrimal duct obstruction. Curr Eye Res 37(4):286\u2013292. https:\/\/doi.org\/10.3109\/02713683.2012.658488","journal-title":"Curr Eye Res"}],"container-title":["International Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-026-03993-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10792-026-03993-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-026-03993-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:05:15Z","timestamp":1771549515000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10792-026-03993-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,19]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3993"],"URL":"https:\/\/doi.org\/10.1007\/s10792-026-03993-0","relation":{},"ISSN":["1573-2630"],"issn-type":[{"value":"1573-2630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,19]]},"assertion":[{"value":"27 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"All procedures were performed in accordance with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study protocol was approved by the local ethics committee (KTO Karatay University, Faculty of Medicine Ethics Committee, Konya, T\u00fcrkiye). The study was conducted in accordance with the tenets of the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All participants gave written informed consent for their data to be published.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Publish"}}],"article-number":"123"}}