ReviewOphthalmic plastic and reconstructive surgery
A Comprehensive Review of Dacryoscintigraphy: Part I-Indications, Techniques, and Utility.
Review in Ophthalmic plastic and reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the diagnostic accuracy of dacryoscintigraphy (DSG) in patients with epiphora and its relevance in everyday medical practice.
methodsThe authors performed a PubMed/Medline search of all articles published in English and other languages on DSG. The data analyzed included the techniques and indications of DSG, the interpretation of the results, and the clinical utility and limitations of DSG.
resultsThe present major review suggests that the findings of DSG do not add significantly to a thorough clinical examination. The diagnostic reliability of DSG is limited by the lack of standardization, poor anatomical resolution, poor quality of images, intra- and interobserver variability, low specificity, insufficient correlation with clinical findings, the inability to distinguish stenosis from obstructions, and the inability to assess the results of lacrimal surgery. These limitations raise concerns regarding any justification for its use in everyday lacrimal practice.
conclusionDSG is not routinely used by the vast majority of lacrimal surgeons worldwide given that in most cases, it does not profoundly impact clinical decision-making.
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