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Updated: Apr 26, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Pediatric Endoscopic DCR: The Outcome in 50 Patients

Basil M N Saeed1, Mohamed Tawalbeh2

  • 1Department of Surgery, College of Medicine, Mosul University, Mosul, Iraq.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|July 18, 2014
PubMed

Insights

Endoscopic dacryocystorhinostomy (DCR) is a safe and effective treatment for congenital nasolacrimal duct obstruction in children. This procedure showed a 90% success rate, with minimal complications, offering a viable solution for persistent cases.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital nasolacrimal duct obstruction affects 20% of infants.
  • Pediatric DCR is considered for infants unresponsive to probing or with recurrent dacryocystitis.

Purpose of the Study:

  • To evaluate the safety and efficacy of endoscopic dacryocystorhinostomy (DCR) in pediatric patients.

Main Methods:

  • A retrospective case series of 50 pediatric patients undergoing endoscopic DCR.
  • Patients aged 3-12 years were treated across two centers in Jordan and Iraq.

Main Results:

  • The overall success rate for endoscopic DCR was 90%.
  • Failure was primarily linked to presaccal obstruction.
  • Minor complications occurred in approximately 60% of cases, with no major complications reported.

Conclusions:

  • Endoscopic DCR is a safe and effective surgical option for pediatric congenital nasolacrimal duct obstruction.
  • The procedure demonstrates high success rates and an acceptable complication profile in children.

Keywords:
Endoscopic DCR (EDCR)Pediatrics

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