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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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Transcanalicular revision surgery for failed dacryocystorhinostomy
M Ozsutcu1, A Yenigun, A Meric
1Department of Ophthalmology, Medipol University, Faculty of Medicine, Bagcilar/Istanbul, Turkey.
La Clinica Terapeutica
|January 16, 2014
Summary
Transcanalicular multi diode laser dacryocystorhinostomy (TC-MDL DCR) shows promise for revision surgery after failed primary dacryocystorhinostomy (DCR). This minimally invasive approach offers a high success rate with few complications.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Recurrent dacryostenosis with epiphora after primary dacryocystorhinostomy (DCR) necessitates revision surgery.
- Previous DCR approaches include endonasal (END-DCR) and transcanalicular multi diode laser (TC-MDL DCR).
Purpose of the Study:
- To evaluate the effectiveness of TC-MDL DCR in revision surgeries for patients with failed primary DCR.
- To determine the outcomes and success rates of TC-MDL DCR in this patient cohort.
Main Methods:
- A study included 53 patients with recurrent dacryostenosis post-primary DCR.
- Patients were grouped based on primary DCR type: END-DCR or TC-MDL DCR.
- TC-MDL DCR was employed for all revision surgeries.
Main Results:
- The success rate for revision TC-MDL DCR was 62% in patients with a primary TC-MDL DCR and 85.2% in those with a primary END-DCR.
- Granulation tissue occlusion of the internal ostium was the primary cause of surgical failure in both groups.
Conclusions:
- TC-MDL DCR is a minimally invasive option for revision dacryocystorhinostomy.
- The procedure demonstrates a relatively high success rate and low complication profile in patients with prior DCR failure.
