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Updated: Aug 19, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Dacryocystorhinostomy in children]
Insights
Dacryocystorhinostomy is an effective surgical treatment for children with blocked tear ducts when other methods fail. This procedure, adapted for pediatric patients, offers good outcomes even in complex cases.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Congenital nasolacrimal duct obstruction is a common condition in children.
- Dacryocystorhinostomy (DCR) is a surgical intervention for chronic dacryocystitis.
- Pediatric DCR is indicated when conservative treatments like probing are ineffective.
Abstract:
During the last ten years 218 dacryocystorhinostomies were done, 8 of them on under 10-years-old children (3.7%). Dacryocystorhinostomy remains the only curative intervention which may be done on children even when the lacrimal ways sounding is inefficient. The surgical technique was the same as the one used for the adults, with some characteristic features imposed by the age of the patient. The intervention was some especially on children with congenital imperforations of the lacrimo-nasal channel, when the repermeability of the lacrimal ways could not be obtained by repeated soundings, but also in traumatic and congenital malformed dacryocystitis. The operation was made with good results even after the extirpation of the lacrimal sac, followed by the formation of a neosac. In the observations we presented the underlimit of the intervention has been 2 years and 4 months.
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