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Paediatric laser DCR
A Doyle1, J Russell, M O'Keefe
1Department of Ophthalmology, The Children's Hospital, Dublin, Ireland.
Insights
Endoscopic laser dacrocystorhinostomy in children with congenital nasolacrimal duct obstruction showed a high recurrence rate. This laser-assisted approach was not successful in the studied pediatric cases.
Area of Science:
- Ophthalmology
- Otolaryngology
Background:
- Congenital nasolacrimal duct obstruction (CNLDO) is common in infants.
- External dacryocystorhinostomy (DCR) is a standard surgical treatment.
- Endoscopic laser techniques offer a minimally invasive alternative.
Purpose of the Study:
- To evaluate the efficacy of endoscopic laser-assisted dacryocystorhinostomy (DCR) in children with CNLDO.
- To compare outcomes with traditional external DCR.
Main Methods:
- Six endonasal DCR procedures were performed using a KTP laser.
- Patients had CNLDO resistant to probing and intubation.
- Follow-up ranged from 3 to 8 months.
Main Results:
- All patients experienced recurrence of symptoms postoperatively.
- No successful outcomes were reported in this series.
Conclusions:
- Endoscopic laser-assisted DCR is not a successful procedure for treating CNLDO in children.
- Further research is needed to explore alternative endoscopic techniques.
Purpose:
Endoscopic laser dacrocystorhinostomy is an alternative procedure to external approach DCR in children. We report our results with 5 patients (6 eyes) with congenital nasolacrimal duct obstruction.
Methods:
Six endonasal DCR's were carried out using the KTP laser in patients with congenital nasolacrimal duct obstruction resistant to probing and intubation.
Results:
The follow-up ranged from 3-8 months. All patients experienced a recurrence of their symptoms postoperatively.
Conclusion:
Endoscopic laser assisted DCR is not a successful procedure in children.