Participants
bleeding, SD, nasal pathologies, primary acquired nasolacrimal duct obstruction, trauma
UNCONTROLLED HYPERTENSION, BLEEDING, GROUP B, BLEEDING DISORDER, COMPLICATIONS
Patients aged more than sixteen years with primary acquired nasolacrimal duct obstruction with or without a positive regurge test were included in this study.Patients with uncontrolled hypertension, known TXA allergy, personal or familial history of bleeding disorder, or on anticoagulant therapy, the diagnosis of coexisting nasal pathologies that could influence the outcome of the surgery, and patients with a history of trauma or laceration to the lacrimal passages were excluded from this study.The surgical technique, likely post-treatment results and potential complications were explained to all patients. Written consent was obtained from all patients. Consent includes permission to publish their photos.Finding that mean ± SD of the amount of bleeding after 60 min according to Hamed and Hamed [The study included 33 patients with primary acquired nasolacrimal duct obstruction. 2 patients refused to sign the consent and didn’t participate in the study, and one patient didn’t fit for general anesthesia. Those patients were excluded from the study. 30 patients were divided randomly into 2 groups using the random numbers table, with 15 patients in each group. The first group (Group A) was operated upon using gauze soaked with combined TXA (100 mg/ml) and epinephrine 1:200,000, while the second group (Group B) was operated upon using gauze soaked only with epinephrine 1: 200,000. A CONSORT flow diagram is shown in (Fig. CONSORT flow diagram