[Results of dacryocystorhinostomy according to Toti from 2000 to 2012].
BACKGROUND
The aim of this study was to describe the efficiency, long-term success, patient satisfaction and recurrence rate after dacryocystorhinostomy according to Toti in a retrospective analysis.


METHODS
At the Eye Clinic of the Paracelsus Medical University Salzburg 188 eyes of 176 patients with stenosis/obstruction of lacrimal duct were surgically treated between January 2000 and December 2012. Of these patients 173 eyes had no surgery before DCR according to Toti and 15 eyes had already been operated with diverse dacryocystorhinostomies. All patients underwent dacryocystorhinostomy according to Toti. Pre- and postoperative clinical finings were analysed retrospectively. Postoperative long-term results regarding patient satisfaction, absence of inflammation, epiphora and annoyance through local scar building had been evaluated with a questionnaire in a cross-sectional analysis.


RESULTS
The primary success rate of DCR according to Toti was 91,9 % and the secondary success rate 98,3 % in patients without surgery preoperatively. Classifying by localisation of stenosis, better results could be reached in patients with postsaccal stenosis/obstructions (94,3 %) than in those with presaccal obstructions (77,8 %) or with mixed pre- and postsaccal stenosis/obstructions (86,7 %). Also in the patient group with previous surgery primary and secondary success rates of 93,3 % could be achieved after DCR according to Toti.


CONCLUSIONS
This study confirms that DCR according to Toti is a highly successful technique minimising epiphora and discomfort. The best success rate was found in patients with postsaccal stenosis/obstructions. The local scar was not found to be disturbing.
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
M
M
Emesz
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
E M
EM
Arlt
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
F M
FM
Bauer
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
M
M
Rasp
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
A
A
Bachernegg
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
G
G
Grabner
Univ.-Augenklinik, PMU Salzburg, Müllner Salzburg, Austria.
E M
EM
Krall
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D002648:Child; D003430:Cross-Sectional Studies; D003608:Dacryocystorhinostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012008:Recurrence; D011795:Surveys and Questionnaires