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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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Transconjunctival dacryocystorhinostomy: An aesthetic approach
Anasua Ganguly1, Kesarpu Ramarao2, Samir Mohapatra1
1Department of Ophthalmic Plastic and Reconstructive Surgery, Orbit and Ocular Oncology, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian Journal of Ophthalmology
|January 24, 2017
Summary
Transconjunctival dacryocystorhinostomy (TDCR) provides excellent functional and cosmetic results for Asian Indian patients with nasolacrimal duct obstruction. This minimally invasive approach improves epiphora and overall well-being.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Facial Plastic Surgery
Background:
- Primary acquired nasolacrimal duct obstruction (NLDO) affects tear drainage.
- Traditional DCR can leave visible scars.
- Transconjunctival DCR (TDCR) offers a scarless alternative.
Purpose of the Study:
- To evaluate the anatomical and cosmetic outcomes of TDCR.
- To assess functional results in an Asian Indian population.
Main Methods:
- Prospective case series of TDCR for primary acquired NLDO.
- Included cadaveric dissection and 17 patients (18 eyes).
- Assessed anatomical patency, epiphora, diplopia, aesthetics, and health status.
Main Results:
- Successful TDCR in 82% of eyes under local anesthesia.
- 100% anatomical patency and epiphora relief at 15.5 months follow-up.
- Excellent cosmetic outcomes with no visible scars and improved well-being.
Conclusions:
- TDCR is a safe and effective aesthetic surgical approach for NLDO.
- It yields superior functional and cosmetic results.
- Recommended for patients seeking scarless tear duct surgery.
