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Updated: Jun 26, 2025
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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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Primary Dacryocystorhinostomy for Acute Dacryocystitis: A Systematic Review
James Pietris1,2, Jessica Y Tong2,3, Dinesh Selva2,3
1School of Medicine, University of Adelaide, Adelaide, SA, Australia.
Seminars in Ophthalmology
|May 16, 2024
Summary
Primary dacryocystorhinostomy is an effective and safe treatment for acute dacryocystitis, offering high success rates and low recurrence. This surgical approach provides a good option for managing this common nasolacrimal duct obstruction condition.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Acute dacryocystitis is a frequent condition resulting from nasolacrimal duct obstruction.
- Nasolacrimal duct obstruction can lead to significant patient discomfort and visual impairment.
Purpose of the Study:
- To evaluate the effectiveness of primary dacryocystorhinostomy in managing acute dacryocystitis.
- To compare the outcomes of primary dacryocystorhinostomy with delayed surgical interventions.
Main Methods:
- A systematic literature search was conducted across PubMed/MEDLINE, Embase, and CENTRAL databases up to December 2023.
- Data extraction and risk of bias analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Fourteen articles meeting the inclusion criteria were analyzed.
Main Results:
- Primary dacryocystorhinostomy (DCR) demonstrated high anatomical success rates (81.8-100% for endonasal DCR) and functional success (86.4-92.0% for primary endonasal DCR).
- Functional success rates for primary versus delayed endonasal DCR were found to be equivalent in randomized controlled trials.
- External DCR (ExDCR) showed infrequent complications like fistula and scar formation, while primary endonasal DCR had a noted increase in perioperative bleeding in one study. Shorter admission times were observed with earlier surgical intervention.
Conclusions:
- Primary dacryocystorhinostomy is a safe and effective surgical management strategy for acute dacryocystitis.
- The procedure offers favorable anatomical and functional outcomes with a low risk of recurrence.
- Further health-economic analyses are recommended to fully assess the value of this intervention.
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