Dani, Koshal; Yadalla, Dayakar; Joy, Anupama; Wu, Annie M; R, JayagayathriRead More
To assess the patient reported outcome and quality of life in post external dacryocystorhinostomy operated patients.
A prospective questionnaire based study was carried out on 112 patients diagnosed with chronic dacryocystitis who underwent external dacryocystorhinostomy in the department of Orbit and Oculoplasty at a tertiary eye hospital in South India.
We included 112 cases in our study. Mean (SD) of the age of patients was 48.03 (12.79) years and ranged from 7 to 72 years of age. 44 (39.3%) patients were males and 68 (60.7%) were females. All cases had subjective symptoms of tearing, pain and swelling at baseline which were relieved by post-operative 3 in all cases. The mean (SD) best corrected visual acuity was 0.28 (0.39) at baseline and 0.25 (0.37) at postoperative 3 (p < 0.001). All four parameters studied in the GBI questionnaire – total mean GBI (32.22 vs 48.86, P < 0.001), general subscale (31.21 vs 44.08, P < 0.001), social health (46.28 vs 61.01, P < 0.001), physical outcome (22.17 vs 55.80, P = 0.0001) scores showed significant improvement from 1 vs 3 months post DCR.
The GBI questionnaire is an effective tool for assessing patients’ quality of life following DCR. External DCR can not only produce a successful anatomical outcome but also bring about a measurable improvement in subjective symptoms and quality of life among patients with symptomatic NLDO.
Ali, Mohammad Javed
Lacrimal drainage disorders have complex physical, functional, and psychosocial impacts on the patient’s quality of life. Hence, the evaluation of posttreatment outcomes should extend far beyond the routine anatomical and functional success. Several quality-of-life questionnaires or scoring systems with numerous parameters have been used and validated for lacrimal disorders. They include Glasgow Benefit Inventory (GBI), the nasolacrimal duct obstruction symptom score (NLDO-SS), lacrimal symptom questionnaire (Lac-Q), ocular surface diseased index (OSDI), and the visual function questionnaire (VFQ-25).