Secondary haemorrhage after dacryocystorhinostomy

Clinical & Experimental Ophthalmology
A Tsirbas, Alan A McNab

Abstract

To describe the incidence, clinical features, possible risk factors and outcome of patients suffering secondary haemorrhage after dacryocystorhinostomy (DCR). Records of all patients undergoing external DCR by one surgeon (AAM) over a 6-year period were analysed retrospectively. After 293 DCR operations in 260 patients, 10 patients had a secondary haemorrhage (one after bilateral DCR), usually between days 4 and 10 post-operatively (mean 6.8 days). Six of the 10 were hospitalized for 2-5 days (mean 2.8 days), all of whom had nasal packing, intravenous antibiotics and intravenous fluids; none required blood transfusion. Three patients had immune system defects, three had used non-steroidal anti-inflammatory drugs (NSAID) and four had no obvious risk factors. All 10 had a successful outcome following DCR (compared to an overall failure rate of 25/293 (8.5%): 16 anatomical and nine functional). Secondary haemorrhage after DCR was found to occur after 3.8% of DCR. Risk factors include being immunocompromised and taking NSAID prior to surgery. The haemorrhage did not adversely affect surgical outcome.

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Citations

Dec 31, 2002·American Journal of Ophthalmology·Angelo Tsirbas, Peter J Wormald
Dec 19, 2002·The British Journal of Ophthalmology·A Tsirbas, P J Wormald
Jul 13, 2013·Clinical & Experimental Ophthalmology·Nicholas Andrew, Dinesh Selva
Aug 29, 2006·American Journal of Otolaryngology·Wendy SmithMatthew Yung
Aug 29, 2006·American Journal of Otolaryngology·Wendy SmithMatthew Yung
Jan 1, 2011·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Vladimir S YakopsonBetsy P Luo
Sep 20, 2006·Otolaryngologic Clinics of North America·Angelo Tsirbas, Peter John Wormald
Jan 31, 2004·Ophthalmic Plastic and Reconstructive Surgery·Angelo TsirbasPeter J Wormald
Jan 31, 2004·Ophthalmic Plastic and Reconstructive Surgery·Richard H Caesar, Alan A McNab
Mar 17, 2007·Acta Ophthalmologica Scandinavica·Bulent Yazici, Berna Akova
Jun 9, 2005·Ophthalmic Plastic and Reconstructive Surgery·Ferda CiftciOguz Gulecek
Oct 6, 2001·Current Opinion in Ophthalmology·D WeilA M Heidenreich
Aug 21, 2010·Ophthalmic Plastic and Reconstructive Surgery·Catherine J McMurrayDinesh Selva
May 8, 2020·Ophthalmic Plastic and Reconstructive Surgery·Valerie JuniatDavid H Verity

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