机构地区：[1]Department of Anesthesiology, Centro de Estudos e Pesquisas Oculistas Associados (CEPOA), Rio de Janeiro, Brazil [2]Department of Anesthesiology, Hospital do Olho (HO) Julio Candido de Brito, Duque de Caxias, Brazil [3]Department of Ophthalmology, Centro de Estudos e Pesquisas Oculistas Associados (CEPOA), Rio de Janeiro, Brazil [4]Department of Oculoplastics, Centro de Estudos e Pesquisas Oculistas Associados (CEPOA), Rio de Janeiro, Brazil [5]Hospital do Olho (HO) Julio Candido de Brito, Duque de Caxias, Brazil
出 处：《Open Journal of Ophthalmology》2021年第4期282-292,共11页眼科学期刊（英文）
摘 要：<strong>Introduction:</strong> Epiphora is a common ophthalmologic complaint and referrals to oculoplastics and, in the presence of lower complete lacrimonasal duct obstruction, may lead to mild to severe complications, thus requiring surgery to create a new drainage path. The external dacryocystorhinostomy with silicon intubation is the surgical technique with better long-term outcomes and performed in the institutions where this study was conducted. Can be performed under either general or loco-regional anesthesia, or a combination of both. <strong>Methods:</strong> This article presents a revision of 218 consecutive cases from December 2016 to June 2021 in two specialized centers with the same standardized surgical and anesthetic technique. <strong>Results:</strong> 242 surgical prontuaries were selected, with 218 filling the inclusion criteria. 13% of the patients required additional anesthetic infusion before the beginning of the surgery;2.7% of the patients required field anesthetic infusion during the surgery and 6.4% required supplementary sedation, thus meaning a positive outcome, as the number of patients with intraoperative complaints was low, and the overall comfort was high. During the follow up, no patient required pain medication after 24 hours. <strong>Discussion:</strong> This study points towards the feasibility of the described technique in an outpatient fashion, with low, mild and tolerable side effects associated.<strong>Introduction:</strong> Epiphora is a common ophthalmologic complaint and referrals to oculoplastics and, in the presence of lower complete lacrimonasal duct obstruction, may lead to mild to severe complications, thus requiring surgery to create a new drainage path. The external dacryocystorhinostomy with silicon intubation is the surgical technique with better long-term outcomes and performed in the institutions where this study was conducted. Can be performed under either general or loco-regional anesthesia, or a combination of both. <strong>Methods:</strong> This article presents a revision of 218 consecutive cases from December 2016 to June 2021 in two specialized centers with the same standardized surgical and anesthetic technique. <strong>Results:</strong> 242 surgical prontuaries were selected, with 218 filling the inclusion criteria. 13% of the patients required additional anesthetic infusion before the beginning of the surgery;2.7% of the patients required field anesthetic infusion during the surgery and 6.4% required supplementary sedation, thus meaning a positive outcome, as the number of patients with intraoperative complaints was low, and the overall comfort was high. During the follow up, no patient required pain medication after 24 hours. <strong>Discussion:</strong> This study points towards the feasibility of the described technique in an outpatient fashion, with low, mild and tolerable side effects associated.
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