Evidence map›Paper›PMID 41217508›Full record

SynthesisGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Outcomes of dacryocystorhinostomy with or without stent Insertion-A systematic review and Meta-analysis.

Tzu-Tang Lin, Chih-Hao Liu, Yu-Ming Hsu, Yong-Yuan Chang, Te-Yu Chen, Yu-Fen Huang, Pin-Rong Chen, Chih-Hsing Hung, Da-Wei Wu

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tzu-Tang Lin *School of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Chih-Hao Liu *School of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Yu-Ming HsuResearch Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Yong-Yuan ChangDepartment of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Te-Yu ChenDepartment of general medicine, Linkou Chang Gung Memorial Hospital, Taoyuan City, 333, Taiwan.
Yu-Fen HuangDepartment of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Pin-Rong ChenSchool of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Chih-Hsing HungResearch Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Da-Wei WuResearch Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan. u8900030@yahoo.com.tw.

Funding

the Research Center for Precision Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan from The Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiw KMU-TC114A01
6 · The paper itself

Abstract

purposeTo evaluate whether stent placement improves the surgical success of dacryocystorhinostomy (DCR), considering different approaches and stenting durations.

methodsWe conducted a systematic search of PubMed, Embase, Cochrane Library, and Web of Science for randomized controlled trials (RCTs) comparing DCR with and without stent insertion. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using the Mantel-Haenszel (MH) fixed-effect model, as heterogeneity was negligible (I²<0.1%). Subgroup analyses were conducted to compare surgical approach (external, endoscopic, and laser-assisted) and stenting duration (≤ 6 weeks vs. >6 weeks). Heterogeneity was assessed using Cochran's Q and I² statistics. Sensitivity analysis and publication bias were also evaluated.

resultsEighteen RCTs involving 1,517 patients were included. The meta-analysis demonstrated that stent placement significantly improved the DCR success rate compared to non-stented DCR (OR = 1.691; 95% CI: 1.196-2.391; p = 0.003). The average success rates were 92.6% and 88.2% in the stented and non-stented groups, respectively. Subgroup analysis showed significantly better outcomes in external DCR with stenting but not in endoscopic DCR. A shorter stenting duration (≤ 6 weeks) also showed significant benefit over non-stented procedures, whereas longer duration (> 6 weeks) did not. Heterogeneity was low (I²<0.1%), and sensitivity analysis confirmed the robustness of the findings.

conclusionsStented DCR significantly enhanced surgical success in external approaches, while internal approaches lack significant difference and evidence for laser-assisted DCR remains limited. Also, a shorter stenting duration appears to be associated with a higher success rate while potentially minimizing complications according to prior evidence, although the optimal duration remains uncertain. Further research is needed to clarify the efficacy of stenting in laser-assisted DCR.

Indexed as

DacryocystorhinostomyLacrimal Duct ObstructionNasolacrimal DuctStentsEndoscopyHumansRandomized Controlled Trials as TopicTreatment OutcomeDacryocystorhinostomyMeta-analysisStentStenting durationSurgical approachesSurgical success rate

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.