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

Yalaz 1999.

Methods Study design: randomized controlled trial, parallel group
Unit of analysis: participants
Number randomized: 60 in total, 10 per group
Number of arms: 5
Enrollment start year: 1995
Length of follow‐up: 12 months
Sample size calculations: not reported
Losses to follow‐up: none
Participants Country: Turkey
Age (mean (SD)): 35 (13.81) in total
Females (n (%)): 47 (78.3) in total
Inclusion criteria: primary acquired idiopathic nasolacrimal duct obstruction
Exclusion criteria: secondary nasolacrimal duct obstruction due to factors such as trauma, facial surgery, sinus disease, and revision DCR
Study group differences: no difference
Interventions Intervention 1: EX‐DCR with application of 0.5 mg/mL MMC
Intervention 2: EX‐DCR with application of 1 mg/mL MMC
Intervention 3: EX‐DCR with application of 2.5 mg/mL 5‐FU
Intervention 4: EX‐DCR with application of 5 mg/mL 5‐FU
Comparison intervention: EX‐DCR alone
Outcomes Measured outcomes:
  • functional success, defined as the relief of epiphora

  • anatomic success, defined as patency to lacrimal irrigation


Adverse events: none
Identification Author name: Müslime Yalaz
Institution: Çukurova University Medical Faculty
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 "The patients were randomly divided into three groups". Method of random sequence generation was not reported.
Allocation concealment (selection bias) Unclear risk Method of treatment allocation concealment was not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Masking of participants and personnel was not reported.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Masking of outcome assessors was not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There were no missing outcome data at 12 months.
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'.