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Degree of agreement between dacryoscintigraphy and dacryocystography examinations results in primary acquired nasolacrimal duct obstruction
, 3, 4
Affiliations- Department of Ophthalmology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
- Division of Plastic and Reconstructive Surgery, Department of Ophthalmology, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
- Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
- Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
open access
Abstract
Background: This diagnostic study aimed to assess degree of agreement between dacryoscintigraphy and dacryocystography as supporting examinations in patients with primary acquired nasolacrimal duct obstruction (PANDO). Patients with PANDO who complained of epiphora and visited our outpatient clinic were subsequently sent for dacryoscintigraphy and dacryocystography examinations. Side effects and convenience of both examinations were assessed by observation and questionnaire. Material and methods: Through irrigation and probing, there were 47 out of 62 eyes were found with PANDO. As much as 87.1% subjects were female, with mostly (74.2%) aged > 40 years old. With dacryoscintigraphy, time needed to reach sac was 0 minutes, 5 minutes (duct), and 12.5 minutes (nasal cavity). Results: Degree of agreement between both examinations was 83.8% to determine obstruction and 70.9% to locate obstruction. There were 22 subjects complained about pain in dacryocystography examination while none with dacryoscintigraphy (p < 0.005). Sixteen subjects feel dacryoscintigraphy examination was more convenient, eleven subjects feel dacryocystohraphy was more convenient, while 4 subjects feel the two examinations were similar. Conclusions: Even though dacryocystography examination was considered more painful than dacryoscintigraphy, both examinations had high convenience level for patients. Dacryoscintigraphy and dacryocystography also had a good agreement in detecting and locating obstruction in PANDO.
Abstract
Background: This diagnostic study aimed to assess degree of agreement between dacryoscintigraphy and dacryocystography as supporting examinations in patients with primary acquired nasolacrimal duct obstruction (PANDO). Patients with PANDO who complained of epiphora and visited our outpatient clinic were subsequently sent for dacryoscintigraphy and dacryocystography examinations. Side effects and convenience of both examinations were assessed by observation and questionnaire. Material and methods: Through irrigation and probing, there were 47 out of 62 eyes were found with PANDO. As much as 87.1% subjects were female, with mostly (74.2%) aged > 40 years old. With dacryoscintigraphy, time needed to reach sac was 0 minutes, 5 minutes (duct), and 12.5 minutes (nasal cavity). Results: Degree of agreement between both examinations was 83.8% to determine obstruction and 70.9% to locate obstruction. There were 22 subjects complained about pain in dacryocystography examination while none with dacryoscintigraphy (p < 0.005). Sixteen subjects feel dacryoscintigraphy examination was more convenient, eleven subjects feel dacryocystohraphy was more convenient, while 4 subjects feel the two examinations were similar. Conclusions: Even though dacryocystography examination was considered more painful than dacryoscintigraphy, both examinations had high convenience level for patients. Dacryoscintigraphy and dacryocystography also had a good agreement in detecting and locating obstruction in PANDO.
Keywords
nasolacrimal duct obstruction; dacryocystography; dacryoscintigraphy
About this articleTitle
Degree of agreement between dacryoscintigraphy and dacryocystography examinations results in primary acquired nasolacrimal duct obstruction
Journal
Issue
Article type
Research paper
Pages
12-17
Published online
2022-01-31
Page views
5570
Article views/downloads
598
DOI
Pubmed
Bibliographic record
Nucl. Med. Rev 2022;25(1):12-17.
Keywords
nasolacrimal duct obstruction
dacryocystography
dacryoscintigraphy
Authors
Elyas Aditya
Yunia Irawati
Benny Zulkarnaien
Joedo Prihartono
References (16)- Lin LK, Gokoffski KK. Epiphora. In: Cornea 4th ed. Elsevier 2016: 403–409.
- Nixon J, Birchall IW, Virjee J. The role of dacryocystography in the management of patients with epiphora. Br J Radiol. 1990; 63(749): 337–339.
- Hurwitz JJ. The lacrimal drainage system. In: Ophthalmology. 3rd ed. Elsevier, London 2009: 1482–1487.
- MacDonald A, Burrell S. Infrequently performed studies in nuclear medicine: Part 1. J Nucl Med Technol. 2008; 36(3): 132–43; quiz 145.
- Cuthbertson FM, Webber S. Assessment of functional nasolacrimal duct obstruction--a survey of ophthalmologists in the southwest. Eye (Lond). 2004; 18(1): 20–23.
- Kashkouli MB, Sadeghipour A, Kaghazkanani R, et al. Pathogenesis of primary acquired nasolacrimal duct obstruction. Orbit. 2010; 29(1): 11–15.
- Al-Ghamdi AH, El-Saban K. Clinical Values of The Lacrimal Scintigraphic Parameters In Diagnosis Of Epiphora: Comparison To Dacryocystography. Med J Cairo Univ. 2011; 79(2): 13–22.
- Foster J, Carter K, Durairaj V, et al. Section 7. Orbits, Eyelids, and Lacrimal System. In: American Academy of Ophthalmology. LEO, Singapore 2015: 284–290.
- Wearne MJ, Pitts J, Frank J, et al. Comparison of dacryocystography and lacrimal scintigraphy in the diagnosis of functional nasolacrimal duct obstruction. Br J Ophthalmol. 1999; 83(9): 1032–1035.
- Rose JD, Clayton CB. Scintigraphy and contrast radiography for epiphora. Br J Radiol. 1985; 58(696): 1183–1186.
- Amanat LA, Wraight EP, Watson PG, et al. Role of lacrimal scintigraphy and subtraction macrodacryocystography in the management of epiphora. Br J Ophthalmol. 1979; 63(7): 511–519.
- Reddy SC, Zakaria A, Bhavaraju VM. Evaluation of lacrimal drainage system by radionuclide dacryoscintigraphy in patients with epiphora. Iran J Nucl Med. 2016; 24(2): 98–105.
- Chan W, Malhotra R, Kakizaki H, et al. Perspective: what does the term functional mean in the context of epiphora? Clin Exp Ophthalmol. 2012; 40(7): 749–754.
- Denffer H, Dressler J, Pabst HW. Lacrimal dacryoscintigraphy. Seminars in Nuclear Medicine. 1984; 14(1): 8–15.
- Brizel HE, Sheils WC, Brown M. The effects of radiotherapy on the nasolacrimal system as evaluated by dacryoscintigraphy. Radiology. 1975; 116(02): 373–381.
- Shweel M, Elshafei A, AbdelRahman RD, et al. Evaluation of lacrimal drainage system obstruction using combined multidetector CT and instillation dacryocystography. Egypt J Radiol Nucl Med. 2012; 43(3): 413–420.
