{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:50Z","timestamp":1786649870445,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,12]]},"abstract":"\n Purpose:<\/jats:title>\n To study the efficacy of dacryocystectomy (DCT) in reducing epiphora in cases of primary acquired nasolacrimal duct obstruction.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This was a prospective, nonrandomized, interventional study conducted over a period of 12 months. All cases who either opted or satisfied our criteria for DCT in primary acquired nasolacrimal duct obstruction (age above 70 years) were included in the study. Patients with secondary nasolacrimal duct obstruction and those undergoing revision surgeries were excluded. Patients were asked to report the percentage improvement in postoperative watering subjectively. Munk score and fluorescein dye disappearance test (FDDT) were recorded pre- and postoperatively. Wilcoxon signed ranked test was used for analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Eighty-two eyes of 65 patients were included. Most of the patients (46, 70.8%) were females. The mean age was 68.46 \u00b1 5.7 years (range: 60\u201385 years). The mean subjective improvement in watering was 86.8%. The\n P<\/jats:italic>\n value for preoperative and postoperative difference in Munk score and FDDT score was highly significant (\n P<\/jats:italic>\n = 0.00001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Apart from providing relief from ocular discharge, DCT also provides significant improvement in watering. Patients can be preoperatively counseled regarding chances of reduction in epiphora following surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_972_22","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T08:53:31Z","timestamp":1670316811000},"page":"4416-4418","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Is dacryocystectomy effective in reducing epiphora?"],"prefix":"10.4103","volume":"70","author":[{"given":"Md Shahid","family":"Alam","sequence":"first","affiliation":[{"name":"Department of Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata (A Unit of Medical Research Foundation, Chennai), West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debi","family":"Kundu","sequence":"additional","affiliation":[{"name":"Department of Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata (A Unit of Medical Research Foundation, Chennai), West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/S0161-6420(86)33620-0","article-title":"Primary acquired nasolacrimal duct obstruction:A clinicopathologic report and biopsy technique","volume":"93","author":"Linberg","year":"1986","journal-title":"Ophthalmology"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1471-2415-15-6","article-title":"Impact of epiphora on vision-related quality of life","volume":"15","author":"Shin","year":"2015","journal-title":"BMC Ophthalmol"},{"key":"R4-20251006","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1016\/S0161-6420(91)32038-4","article-title":"Hemorrhage associated with dacryocystorhinostomy and the adjunctive use of desmopressin in selected patients","volume":"98","author":"Bartley","year":"1991","journal-title":"Ophthalmology"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/01676830490504133","article-title":"Dacryocystectomy:Indications and results","volume":"23","author":"Matayoshi","year":"2004","journal-title":"Orbit"},{"key":"R6-20251006","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1080\/01676830.2017.1353111","article-title":"Dacryocystectomy as a treatment of chronic dacryocystitis in the elderly","volume":"36","author":"Meireles","year":"2017","journal-title":"Orbit"},{"key":"R7-20251006","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1038\/sj.eye.6700662","article-title":"Dacryocystectomy as treatment of chronic dacryocystitis in a frail, elderly patient","volume":"18","author":"Cook","year":"2004","journal-title":"Eye (Lond)"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1097\/IOP.0000000000000269","article-title":"Dacryocystectomy:Goals, indications, techniques and complications","volume":"30","author":"Ali","year":"2014","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/00002341-199709000-00010","article-title":"Dacryocystectomy:Surgical indications and results in 25 patients","volume":"13","author":"Mauriello","year":"1997","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1148\/radiology.177.3.2243969","article-title":"Epiphora:Treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus","volume":"177","author":"Munk","year":"1990","journal-title":"Radiology"},{"key":"R11-20251006","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/0002-9394(72)91142-7","article-title":"Lacrimal drainage function. 2. The fluorescein dye disappearance test","volume":"74","author":"Zappia","year":"1972","journal-title":"Am J Ophthalmol"},{"key":"R12-20251006","doi-asserted-by":"crossref","first-page":"302","DOI":"10.3928\/0191-3913-19911101-04","article-title":"The fluorescein disappearance test (FDT):An evaluation of its use in infants","volume":"28","author":"MacEwen","year":"1991","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R13-20251006","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.clae.2010.03.002","article-title":"Tear film evaporation-effect of age and gender","volume":"33","author":"Guillon","year":"2010","journal-title":"Cont Lens Anterior Eye"},{"key":"R14-20251006","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/S0161-6420(95)30971-2","article-title":"Histopathologic study of human lacrimal gland. Statistical analysis with special reference to aging","volume":"102","author":"Obata","year":"1995","journal-title":"Ophthalmology"},{"key":"R15-20251006","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S1542-0124(12)70150-7","article-title":"The contribution of meibomian disease to dry eye","volume":"2","author":"Bron","year":"2004","journal-title":"Ocul Surf"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_972_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:59:23Z","timestamp":1786647563000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_972_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,30]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_972_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,30]]},"assertion":[{"value":"2022-04-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}