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Updated: May 12, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
An endoscopic endonasal approach to dacryocystectomy
1South Australian Institute of Ophthalmology and Department of Ophthalmology and Visual Sciences, Adelaide University, Adelaide, South Australia, Australia. pari.shams@gmail.com
Orbit (Amsterdam, Netherlands)
|April 10, 2013
Summary
Functional vision loss from chronic dacryocystitis was treated with dacryocystectomy (DCT) via an endoscopic endonasal approach. This method resolved symptoms effectively, offering an alternative to skin incisions.
Area of Science:
- Ophthalmology
- Otolaryngology
Background:
- Chronic purulent dacryocystitis can lead to functional visual loss.
- Dacryocystorhinostomy (DCR) is a common surgical treatment for dacryocystitis.
Observation:
- A 78-year-old woman with dementia presented with visual loss due to bilateral chronic purulent dacryocystitis.
- An initial external dacryocystorhinostomy (DCR) failed due to wound complications.
- The patient subsequently underwent bilateral dacryocystectomy (DCT) with endoscopic endonasal approach.
Findings:
- The endoscopic endonasal dacryocystectomy (DCT) procedure successfully resolved the patient's symptoms.
- This approach avoided external skin incisions, which were problematic for the patient.
Implications:
- Endoscopic endonasal dacryocystectomy (DCT) is a feasible alternative for selected dacryocystitis cases.
- This technique may be advantageous in patients where external incisions are undesirable or difficult to manage.
