Evidence map›Paper›PMID 41882630›Full record

ArticleBMC ophthalmology2026

Endoscopic dacryocystorhinostomy with and without silicone intubation in primary acquired nasolacrimal duct obstruction: a comparative study.

Zhaorong Jiang, Bingyu Bai, Yingying Diao, Yong Du, Binhui Li, Banwei Wang, Linbin Zhou, Zheng Liu, Lujia Feng, Lu Chen and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Zhaorong Jiang *Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, Guangdong, China.
Bingyu Bai *Jinan University, Guangzhou, Guangdong, China.
Yingying Diao *Jinan University, Guangzhou, Guangdong, China.
Yong Du *Shenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, Guangdong, China.
Binhui LiThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong, China.
Banwei WangZhuhai Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, Guangdong, China.
Linbin ZhouDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Zheng LiuState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, Guangdong, China.
Lujia FengShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, Guangdong, China. fenglj23@mail2.sysu.edu.cn.
Lu ChenShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, Guangdong, China. chenlu@sz-eyes.com.
Wei ChiShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen, Guangdong, China. chiwei@mail.sysu.edu.cn.

Funding

National Natural Science Foundation of China 82301225
6 · The paper itself

Abstract

backgroundTo observe the clinical efficacy of endoscopic dacryocystorhinostomy (EN-DCR) with and without silicone intubation in treating primary acquired nasolacrimal duct obstruction (PANDO).

methodsThis retrospective study enrolled 115 PANDO patients. The patients were divided into two groups based on the treatment modalities they received. Group 1 comprised 61 patients who underwent EN-DCR without silicone intubation, while Group 2 consisted of 54 patients treated with EN-DCR combined with silicone intubation. Clinical outcomes were analyzed to assess treatment efficacy.

resultsThis study included 115 PANDO patients, 61 in Group 1 and 54 in Group 2. Baseline demographics and tear film parameters had no significant differences between the two groups preoperatively. Postoperatively, no significant differences were observed in tear film parameters, including tear film breakup time (BUT), lacrimal river height (LRH), and tear meniscus area (TMA) between the two groups. In addition, recurrence and complication rates did not differ significantly between the two groups. However, there was a significant difference in postoperative curative effect between the two groups. Group1 demonstrated superior results at 1-month follow-up postoperative (19.67% cure rate vs. 7.41% in Group2; P = 0.03), while Group2 showed better outcomes at 6-month follow-up (68.52% cure rate vs. 49.18% in Group1; P = 0.04). Additionally, Group 2 achieved significantly lower Munk scores at 6 months (P < 0.001).

conclusionsThis study demonstrates that EN-DCR is effective and safe for PANDO with or without silicone intubation. Notably, our findings clarify intubation’s role: EN-DCR without silicone intubation was associated with better outcomes at the 1‑month follow‑up, whereas the intubation group showed more favorable results at 6 months. This guides personalized decisions, bridging research and practice to optimize care.

Indexed as

DacryocystorhinostomyEndoscopyIntubationLacrimal Duct ObstructionNasolacrimal DuctSiliconesAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeSiliconesCurative effectEndonasal endoscopic dacryocystorhinostomyPrimary acquired nasolacrimal duct obstructionSilicone intubationSurgical method

Identifiers

PMID41882630
PMCPMC13141370

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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.