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. 2020 Apr 7;2020(4):CD012309. doi: 10.1002/14651858.CD012309.pub2

Park 2000.

Methods Study design: randomized controlled trial, parallel group
Unit of analysis: eyes
Number randomized: 66 participants (75 eyes) in total, 37 in the MMC group, 38 in the EN‐DCR alone group
Number of arms: 2
Enrollment start year: 1997
Length of follow‐up: mean of 6.8 months in the MMC group (range 4 to 16 months), mean of 7.2 months in the EN‐DCR alone group (range 4 to 19 months)
Sample size calculations: not reported
Losses to follow‐up: none
Participants Country: South Korea
Age (mean (SD)): 54 (NR) in the MMC group, 52 (NR) in the EN‐DCR alone group
Females (n (%)): 66 (88) in total, 35 (95) in the MMC group, 31 (82) in the EN‐DCR alone group
Inclusion criteria: diagnosis of nasolacrimal duct obstruction
Exclusion criteria: not reported
Study group differences: no significant differences between groups
Interventions Intervention: EN‐DCR with application of 0.2 mg/mL MMC
Comparison intervention: EN‐DCR alone
Outcomes Measured outcomes:
  • anatomic success, defined as patency to lacrimal irrigation


Adverse events: orbital fat herniation, nasal septal wall injury, rebleeding, tube protrusion
Identification Author name: Mi Seon Kwak
Institution: Taegu Fatima Hospital
Email: not reported
Notes Funding source: not reported
Declarations of interest: not reported
Trial registration number: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of random sequence generation not reported.
Allocation concealment (selection bias) Unclear risk Method of allocation concealment not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk 1 surgeon performed all surgeries; masking of participants not reported.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Masking of outcome assessors not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No attrition or missing data
Selective reporting (reporting bias) Unclear risk No trial or protocol registration available for comparison to ascertain selective outcome reporting.
Other bias Unclear risk There was insufficient information to permit a judgement of 'low risk' or 'high risk'.