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Surgeon Experience as Predictors of Outcome of Dacryocystorhinostomy Surgery

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creativeworkseries.issn1999-6217
dc.contributor.authorLimbu, Ben
dc.contributor.authorRasaily, Suresh BK
dc.contributor.authorPant, Aasish Raj
dc.contributor.authorShrestha, Nisha
dc.contributor.authorBharati, Dev Raj
dc.contributor.authorPandey, Triptesh Raj
dc.contributor.authorGurung, Hom Bahadur
dc.date.accessioned2025-07-31T10:24:25Z
dc.date.available2025-07-31T10:24:25Z
dc.date.issued2023
dc.descriptionBen Limbu Itahari Global Eye Hospital, Itahari https://orcid.org/0000-0001-6098-3940 Suresh BK Rasaily Rapti Eye Hospital, Dang Aasish Raj Pant Mechi Eye Hospital, Birtamod Nisha Shrestha Patan Hospital, Lalitpur Dev Raj Bharati Fateh Bal Eye Hospital, Nepalgunj Triptesh Raj Pandey Mechi Netralaya, Kakarvitta Hom Bahadur Gurung Tilganga Institute of Ophthalmology, Kathmandu
dc.description.abstractAbstract Background: Dacryocystorhinostomy surgery aims to treat nasolacrimal duct obstruction and are often performed by general ophthalmologists in developing countries. The aim of this study is to estimate the clinical burden, surgeon’s experience, and outcome of dacryocystorhinostomy surgery. Methods: A cross-sectional survey of Nepalese Ophthalmologists registered with the Nepal Ophthalmic Society was conducted after ethical clearance from Nepal Health Research Council. The survey form consisted of a single mail-shot questionnaire information including the age and experience, average case per month, and participant-reported post-operative complications and failures. Data were entered onto Microsoft excel (Microsoft Corp) and analyzed using SPSS 22.0. The data were presented in graphical and tabular format and appropriate statistical tools were employed for the analysis. Results: Out of 300 practicing ophthalmologist, 135 (45%) comprising male 60 (44.4%) and female 75(55.6%) responded to the survey. Majority of respondents were general ophthalmologists (37 ,41.6%) followed by oculoplastic surgeons (27,30.3%) and other subspecialties (25,28.1%). More than 70% respondents perform 1-10 surgeries /month and only 3% perform >50 surgeries /month. The success rate of 75-90% was reported by 45(50%) respondents whereas > 90% success rate by 41 (46.1%). More than 80% surgeons experienced an infection rate of <1% regardless of the intubation status. Conclusions: This survey revealed huge differences in surgery practice patterns among ophthalmologists in Nepal. The surgical success rate and post-operative infection rate depends upon surgeon experience. Moreover, uniform surgery protocols and training budding ophthalmologists/ young Oculoplastic surgeons in the best modern dacryocystorhinostomy surgery are required. Keywords: Dacryocystorhinostomy; nasolacrimal duct obstruction; oculoplasty; ophthalmologist.
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1085
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleSurgeon Experience as Predictors of Outcome of Dacryocystorhinostomy Surgery
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage462
oaire.citation.startPage458
relation.isJournalIssueOfPublication5e202d37-79c9-4a3f-8d30-c812f7d72775
relation.isJournalIssueOfPublication.latestForDiscovery5e202d37-79c9-4a3f-8d30-c812f7d72775
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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