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Transcanalicular laser-assisted dacryocystorhinostomy

N Rosen1, A Barak, M Rosner

  • 1Goldschleger Eye Institute, Sackler School of Medicine, Tel Aviv University, Sheba Medical Center, Tel Hashomer, Israel.

Ophthalmic Surgery and Lasers
|September 26, 1997
PubMed
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Transcanalicular laser-assisted dacryocystorhinostomy offers a new approach for nasolacrimal duct obstruction, with 64% of patients experiencing relief from epiphora. Further technical improvements are needed to enhance success rates for this laser dacryocystorhinostomy technique.

Area of Science:

  • Ophthalmology
  • Laser Surgery
  • Oculoplastics

Background:

  • Traditional laser-assisted dacryocystorhinostomy (DCR) is primarily performed endonasally.
  • A novel transcanalicular approach to laser-assisted DCR was investigated.

Purpose of the Study:

  • To describe a transcanalicular laser-assisted dacryocystorhinostomy technique.
  • To evaluate the surgical outcomes of this method.

Main Methods:

  • Fourteen patients with nasolacrimal duct obstruction underwent transcanalicular laser-assisted DCR.
  • A giant-pulse Nd:YAG laser was used to perforate the bony ostium.
  • Silicone tubes were placed and patients were followed for 18–22 months.

Main Results:

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  • Epiphora resolved in 9 out of 14 patients (64%).
  • Three patients did not experience relief.
  • One patient had intraoperative nasal bleeding, and another experienced delayed tearing.

    • Conclusions:

    • Transcanalicular laser-assisted dacryocystorhinostomy is a potentially viable DCR method.
    • Technical modifications are necessary to improve the overall success rate.