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Related Experiment Video

Updated: May 20, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
07:30

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

Subciliary incision for external dacryocystorhinostomy.

Tarjani V Dave1, Mohammed Javed Ali, P Sravani

  • 1Division of Ophthalmic Plastic Surgery, LV Prasad Eye Institute, Hyderabad, India.

Ophthalmic Plastic and Reconstructive Surgery
|July 24, 2012
PubMed
Summary

The subciliary incision for external dacryocystorhinostomy (DCR) offers excellent functional and cosmetic results for nasolacrimal duct obstruction. This approach ensures a nearly invisible scar, improving patient satisfaction and surgical outcomes.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Reconstructive Surgery

Background:

  • Primary acquired nasolacrimal duct obstruction causes epiphora and potential infection.
  • External dacryocystorhinostomy (DCR) is a common surgical treatment.
  • Cosmetic outcomes of surgical scars are a significant patient concern.

Purpose of the Study:

  • To evaluate the cosmetic and functional results of the subciliary incision for external dacryocystorhinostomy.
  • To assess patient and physician satisfaction with scar visibility after the procedure.

Main Methods:

  • A prospective interventional study involving 16 patients (17 eyes) undergoing external DCR via a subciliary incision.
  • Functional success defined by epiphora relief and patent lacrimal irrigation.

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Last Updated: May 20, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

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  • Cosmetic scar assessment using subjective patient and objective physician grading via digital photographs.

    • Main Results:

    • All 17 eyes achieved anatomical and functional success.
    • Physician assessment: 47% invisible scars, 88.2% minimally visible scars.
    • Patient assessment: 88% invisible scars, 100% minimally visible scars.
    • Two cases (11.7%) had moderately visible scars; no major complications reported.

    Conclusions:

    • The subciliary approach for external DCR yields excellent functional outcomes.
    • This technique provides superior cosmetic scar results, comparable to or better than other external DCR approaches.
    • It maintains the surgical access and benefits of traditional external DCR while minimizing visible scarring.