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Updated: Jan 23, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
11.6K
Characteristics and Success Rates of Same Day or Asynchronous Bilateral External Dacryocystorhinostomy
Alicia Galindo-Ferreiro1,2, Mohammed Dufaileej1, Alberto Galvez-Ruiz1
1King Khaled Eye Specialist Hospital, Saudi Arabia.
The Journal of Craniofacial Surgery
|June 6, 2019
Summary
Same-day bilateral dacryocystorhinostomy (DCR) offers similar success rates for nasolacrimal duct obstruction (NLDO) as separate-day procedures. This approach allows for complete treatment in a single operative visit, making it a recommended option.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Bilateral nasolacrimal duct obstruction (NLDO) affects tear drainage in both eyes.
- Surgical options include simultaneous or asynchronous bilateral dacryocystorhinostomy (DCR).
Purpose of the Study:
- To compare the success rates of same-day versus asynchronous bilateral external DCR for treating NLDO.
- To evaluate patient characteristics associated with bilateral NLDO.
Main Methods:
- Retrospective analysis of 57 patients with bilateral NLDO undergoing external DCR from 2010-2015.
- Success defined as subjective resolution of tearing post-surgery.
- Statistical analysis performed with significance set at P < 0.05.
Main Results:
- Success rates were comparable between same-day (61.3%) and asynchronous (54.2%) bilateral DCR groups.
- No significant correlation found between success rates and patient age, gender, or stent usage.
- Median follow-up was 7 months.
Conclusions:
- Same-day bilateral external DCR is recommended for bilateral NLDO due to equivalent success rates and efficiency.
- Treating both eyes in one visit simplifies patient management and recovery.
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