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Updated: Apr 25, 2026
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Surgical outcome of pediatric dacryocystorhinostomy in Nepal
Ruchi Shrestha1, Deepak Sobti2, Sulene L Chi3
1Lumbini Eye Institute, Bhairahawa, Nepal, and Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Purpose:
To report the indications and surgical outcome of dacryocystorhinostomy (DCR) in children treated at a single tertiary eye hospital in Nepal.
Methods:
The medical records of consecutive pediatric patients who underwent external DCR with silicon tube intubation after failed nasolacrimal irrigation and probing from January 2010 to June 2011 were retrospectively reviewed. Surgical success was defined as resolution of epiphora, normal tear film height, negative fluorescein dye disappearance test and anatomic patency determined by irrigation of the lacrimal system.
Results:
The etiology of the nasolacrimal duct obstruction was acquired nasolacrimal duct obstruction (NLDO) in 63%, congenital NLDO in 23%, trauma in 1% and congenital bony abnormality in 1 patient. Of the 38 patients who completed follow-up, 37 (97%) had a successful result.
Conclusions:
External DCR effectively treated a variety of pediatric NLDO etiologies, with a low rate of complications.
