[How did lacrimal endoscopy influence lacrimal surgery?]

Area of Science:

• Ophthalmology
• Surgical Innovation

Context:

• The field of lacrimal surgery has undergone rapid advancements in the past two decades.
• Evolving understanding of lacrimal stenosis and its anatomical-functional aspects.
• Integration of endoscopic visualization techniques has transformed diagnostic and surgical approaches.

Purpose:

• To review the recent changes and advancements in lacrimal surgery.
• To highlight the shift towards minimally invasive surgical techniques.
• To discuss the impact of new technologies on the treatment of lacrimal system disorders.

Summary:

• Lacrimal surgery has seen significant evolution, with a decline in Dacryocystorhinostomy (DCR) frequency but continued relevance for specific indications.
• Microendoscopic canalicular surgery has largely been superseded by microendoscopic transcanalicular laser dacryoplasty and microdrill dacryoplasty.
• Development of superfine endoscopes, inspired by other endoscopic procedures, allows for direct visualization and evaluation of the lacrimal system lumen.
• Minimally invasive techniques, including laser and microdrill dacryoplasty, enable less invasive surgical interventions.
• Surgical treatment for lacrimal system injuries remains unchanged.

Impact:

• Advancements in microendoscopic transcanalicular techniques and wound healing modulation are expected to shape future lacrimal surgery.
• Improved diagnostic capabilities through endoscopy allow for more precise surgical planning and execution.
• The shift towards less invasive procedures offers potential benefits for patient recovery and outcomes.