Scientific Online Resource System

Scripta Scientifica Medica

Study of primary endoscopic dacryocystorhinostomy without lacrimal stent

Sapna Parab


OBJECTIVES/HYPOTHESIS: To evaluate the surgical outcome of primary endoscopic dacryocystorhinostomy (DCR) in nasolacrimal duct obstruction (NLDO) in our set up.
STUDY DESIGN: Retrospective non randomized study of consecutive 571 DCR performed in MIMER Medical College, Talegaon-Dabhade, Pune, India during January 2006 to December 2013 with a follow up period of minimum 1 year.
METHODS: Retrospective analysis of 571 consecutive primary endoscopic DCR procedures performed without stenting was done. Nasolacrimal system irrigation was used for preoperative assessment. Success was defined as absence of symptoms and patent nasolacrimal system.
RESULTS: The overall success rate was 87.39% (499/571).
CONCLUSIONS: Our study suggests that the surgical outcomes of primary endoscopic DCR in nasolacrimal duct obstruction are good.


endoscopic dacryocystorhinostomy (DCR)

Full Text


Toti A. Nuovo metodo conservatore dicura rad- icale delle soppurzioni croniche del sacco lacri- male (dacriocistorinostomia). Clin Mod Firenze. 1904;10:385-387.

Hofmann T, Lackner A, Muellner K, Luxenberger W, Wolf G. Endolacrimal KTP laser-assisted dac- ryocystorhinostomy. Arch Otolaryngol Head Neck Surg. 2003;129:329-332.

Caldwell GW. Two new operations for obstruction of the nasal duct. N Y J Med. 1893;57:581-582.

Allen KM, Berlin AJ. Dacryocystorhinostomy failure:association with nasolacrimal silicone intu- bation. Ophthalmic Surg.1989;20:486-489.

Sprekelsen MB, Barberan MT. Endoscopic dacryo- cystorhinostomy: surgical technique and results. Laryngoscope. 1996;106:187-189.

Weidenbecher M, Hosemann W, Buhr W. Endo- scopic endonasal dacryocystorhinostomy: results in 56 patients. Ann Otol Rhinol Laryngol 1994, 103:363-367.

Jokinen K, Karja J. Endonasal dacryocystorhinos- tomy. Arch Otolaryngol. 1974;100:41-44.

Massaro BM, Gonnering RS, Harris GJ. Endonasal laser dacryocystorhinostomy. A new approach to nasolacrimal duct obstruction. Arch Ophthalmol. 1990;108:1172-1176.

Bartley GB: The pros and cons of laser dacryocys- torhinostomy. Am J Ophthalmol 1994, 117:103-106.

Tripathi A, Lesser TH, O`Donnell NP, White S: Lo- cal anaesthetic endonasal endoscopic laser dacryo- cystorhinostomy: analysis of patients` acceptabil- ity and various factors affecting the success of this procedure. Eye. 2002;16:146-149.

Sadiq SA, Ohrlich S, Jones NS, Downes RN: Endo- nasal laser dacryocystorhinostomy--medium term results. Br J Ophthalmol.1997;81:1089-1092.

Lindberg JV, Anderson RL, Bumstead RM, Barreras R. Study of intranasal ostium exter- nal dacryocystorhinostomy. Arch Ophthalmol. 1992;100:1758-1762.

Article Tools
Email this article (Login required)
About The Author

Sapna Parab
Department of Otorhinolaryngology, M.I.M.E.R. Medical College, Pune, INDIA

Font Size