Table 3. Outlines the treatments, grade of surgeons and outcomes of all patients.
Patient | Indication for choosing BoNTA over surgery | Number of injections | Dose (frequency) | Grade of surgeon | Subjective improvement | Percentage of improvement | Complications | |
---|---|---|---|---|---|---|---|---|
Punctal occlusion | 1 | Dry eye | 3 | 1.25, 2.5(2) | All by fellows | A little better | All 30% | None |
Dry eye | 3 | 1.25, 2.5(2) | All by fellows | A little better | All 30% | None | ||
2 | Sjögren's syndrome | 1 | 2.5 | Fellow | Completely better | 100% | Very dry eye | |
3 | Dry eye | 6 | 2.5 | All by fellows | Completely better | 90%,90%,95%, 95%, 90%, 95% | Haematoma after last injection | |
4 | Dry eye | 4 | 5, 2.5(3) | All by consultant | A lot better but not completely | All about 60% | Diplopia after last injection | |
Dry eye | 4 | 5, 2.5(3) | All by consultant | A lot better but not completely | All about 60% | — | ||
Canalicular or common canalicular stenosis | 5 | Medial canthal SCC | 3 | 2.5 | All by fellows | A lot better but not completely | 90%, 80%, 80% | None |
6 | Rejected Jones tube | 2 | 2.5 | All by fellows | No better | No better | None | |
7 | Unwell with Leukaemia | 3 | 5 | First by consultant, all the rest by fellows | A lot better but not completely | 90%,90%,90% | none | |
8 | Rejected Jones tube | 7 | 2.5 | All by fellows | A lot better but not completely | First 50%, all rest 80–90% | None | |
Rejected Jones tube | 7 | 2.5 | All by fellows | A lot better but not completely | First 50%, all rest 80–90% | None | ||
9 | Rejected surgery due to back problems | 10 | 7.5, 2.5, 5(2), 2.5(6) | Three by consultant, seven by fellows | A lot better but not completely | First 6 treatment 80%, the rest not available | None | |
10 | Disturbed nasal anatomy | 3 | 2.5 | All by fellows | A lot better but not completely | First 50% and the rest 80% | None | |
11 | Medial canthal BCC | 2 | 2.5 | All by fellows | A little better | <50% | None | |
12 | Previously failed DCR, rejected Jones tube | 2 | 2.5 | All by consultant | A lot better but not completely | Both 75% | None | |
Previously failed DCR, rejected Jones tube | 2 | 2.5 | All by consultant | A lot better but not completely | Both 75% | None | ||
13 | Conjunctival SCC | 2 | 2.5 | All by fellows | A lot better but not completely | Both 80% | None | |
14 | Conjunctival SCC | 1 | 2.5 | Consultant | A lot better but not completely | 60% | None | |
NLD stenosis | 15 | Melanoma of nose and sinus | 5 | 2.5 | All by fellows | Completely better | All 90–98% | None |
16 | Old age | 1 | 2.5 | Consultant | A little better | 30% | None | |
Old age | 1 | 2.5 | Consultant | A little better | 30% | None | ||
17 | Rejected DCR | 1 | 2.5 | Fellow | Worse | Worse | Epiphora got worse |
Abbreviations: BoNTA, botulinum toxin A; DCR, dacryocystorhinstomy; NLD, Nasolacrimal duct; SCC, squamous cell carcinoma.