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Problems associated with conjunctivodacryocystorhinostomy.

G C Sekhar1, R K Dortzbach, R S Gonnering

  • 1L. V. Prasad Eye Institute, Hyderabad, India.

American Journal of Ophthalmology
|November 15, 1991
PubMed
Summary
This summary is machine-generated.

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Conjunctivodacryocystorhinostomy effectively treats blocked tear ducts, relieving epiphora in 98.5% of cases. While complications like tube displacement occur, this surgery remains the best option for permanent canalicular obstruction.

Area of Science:

  • Ophthalmology
  • Oculoplastics

Background:

  • Lacrimal canalicular obstruction causes significant epiphora.
  • Trauma and idiopathic disease are leading causes of canalicular obstruction.

Purpose of the Study:

  • To analyze the causes, outcomes, and complications of conjunctivodacryocystorhinostomy for lacrimal canalicular obstruction.

Main Methods:

  • Retrospective analysis of 58 patients (69 eyes) undergoing conjunctivodacryocystorhinostomy.
  • Evaluation of causes of obstruction, surgical results, and complication rates.

Main Results:

  • Epiphora relief achieved in 98.5% of eyes.
  • Common causes included trauma and idiopathic disease (34.8% each).
  • Complications: tube displacement (57.9%), tube obstruction (27.5%), and infection (5.8%).

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Conclusions:

  • Conjunctivodacryocystorhinostomy is highly effective for epiphora relief.
  • Despite frequent complications, satisfactory function is often achievable.
  • It remains the optimal surgical treatment for permanent canalicular dysfunction.