ReviewClinical ophthalmology (Auckland, N.Z.)2025
Minimizing Post-Operative Scars in External Dacryocystorhinostomy: A Literature Review.
Review in Clinical ophthalmology (Auckland, N.Z.), 2025. 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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: This literature review examines the literature on surgical modifications and post-operative strategies designed to minimize visible scarring following external dacryocystorhinostomy (Ext-DCR). Methods: A comprehensive search of PubMed, Medline, Embase, Cochrane Central, and CINAHL databases was performed on July 25th 2024, to identify studies evaluating scar formation after Ext-DCR. Studies were included if they assessed incision techniques, closure methods, or post-operative care protocols and reported aesthetic outcomes related to scar visibility. Results: Forty studies comprising 3750 Ext-DCR procedures with scar reports from 3715 individuals met the inclusion criteria. The prevalence of visible scarring varied widely (0-50%), though most studies reported rates below 10%. Techniques associated with improved aesthetic outcomes included alternative incision designs, minimal incision approaches, and sutureless skin closures. Conclusion: Various surgical modifications have demonstrated potential in reducing visible scarring after Ext-DCR; however, no single technique has achieved universal acceptance. Tailoring incision design and closure techniques based on patient-specific factors, including skin type and aesthetic concerns, has been reported to improve outcomes. Future studies should incorporate standardized scar assessment scales to facilitate direct comparisons and optimize best practices in Ext-DCR surgery.
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