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Endocanalicular laser dacryocystorhinostomy analysis of 118 consecutive surgeries.
Ophthalmology. 2005 Sep; 112(9):1629-33.O

Abstract

PURPOSE

To describe the outcomes of endocanalicular laser dacryocystorhinostomy (ECL DCR) for patients with nasolacrimal duct obstruction (NLDO).

DESIGN

Retrospective, noncomparative, interventional case series.

PARTICIPANTS

One hundred eight consecutive patients who underwent ECL DCR.

METHODS

The records of the patients who underwent ECL DCR at 1 of 2 academic centers were reviewed and the data analyzed.

MAIN OUTCOME MEASURES

Success was defined as the resolution of symptoms or unobstructed lacrimal irrigation.

RESULTS

One hundred eighteen consecutive ECL DCR surgeries performed on 108 patients between June 1997 and June 2003 were reviewed, excluding 6 lost to follow-up. Endocanalicular laser DCR was the initial surgical intervention for all cases except 6 that had previously undergone surgery (external or endonasal DCR) at outside hospitals. Twenty-seven of the surgeries were considered failures on the basis of recurrent epiphora or discharge, or reflux on nasolacrimal irrigation. One of the failures was permanently corrected with balloon dacryoplasty. Nine of the other failures had a repeat procedure, with 7 remaining patent after one repeat procedure and an additional one remaining patent after a third procedure. All 6 ECL DCR procedures that were performed after external or endonasal DCR at an outside institution remained patent. Among the 102 initial lacrimal surgeries in this series, there was a 73.6% success rate. The overall success, including repeat procedures, was 81.5%. The success of this technique as a repeat procedure after previous external, endonasal, or ECL DCRs was 87.5%.

CONCLUSIONS

Endocanalicular laser DCR offers a minimally invasive alternative procedure for the treatment of NLDO. In our series, the success rates are comparable to those previously reported. The technique had a high success rate when used to treat recurrent NLDO after previous lacrimal surgery.

Authors+Show Affiliations

Ophthalmic Plastic and Orbit Surgery, Massachusetts Eye & Ear Infirmary, Boston, Massachusetts 02114, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16087238

Citation

Hong, Jenny E., et al. "Endocanalicular Laser Dacryocystorhinostomy Analysis of 118 Consecutive Surgeries." Ophthalmology, vol. 112, no. 9, 2005, pp. 1629-33.
Hong JE, Hatton MP, Leib ML, et al. Endocanalicular laser dacryocystorhinostomy analysis of 118 consecutive surgeries. Ophthalmology. 2005;112(9):1629-33.
Hong, J. E., Hatton, M. P., Leib, M. L., & Fay, A. M. (2005). Endocanalicular laser dacryocystorhinostomy analysis of 118 consecutive surgeries. Ophthalmology, 112(9), 1629-33.
Hong JE, et al. Endocanalicular Laser Dacryocystorhinostomy Analysis of 118 Consecutive Surgeries. Ophthalmology. 2005;112(9):1629-33. PubMed PMID: 16087238.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endocanalicular laser dacryocystorhinostomy analysis of 118 consecutive surgeries. AU - Hong,Jenny E, AU - Hatton,Mark P, AU - Leib,Martin L, AU - Fay,Aaron M, PY - 2004/12/29/received PY - 2005/04/10/accepted PY - 2005/8/10/pubmed PY - 2005/9/21/medline PY - 2005/8/10/entrez SP - 1629 EP - 33 JF - Ophthalmology JO - Ophthalmology VL - 112 IS - 9 N2 - PURPOSE: To describe the outcomes of endocanalicular laser dacryocystorhinostomy (ECL DCR) for patients with nasolacrimal duct obstruction (NLDO). DESIGN: Retrospective, noncomparative, interventional case series. PARTICIPANTS: One hundred eight consecutive patients who underwent ECL DCR. METHODS: The records of the patients who underwent ECL DCR at 1 of 2 academic centers were reviewed and the data analyzed. MAIN OUTCOME MEASURES: Success was defined as the resolution of symptoms or unobstructed lacrimal irrigation. RESULTS: One hundred eighteen consecutive ECL DCR surgeries performed on 108 patients between June 1997 and June 2003 were reviewed, excluding 6 lost to follow-up. Endocanalicular laser DCR was the initial surgical intervention for all cases except 6 that had previously undergone surgery (external or endonasal DCR) at outside hospitals. Twenty-seven of the surgeries were considered failures on the basis of recurrent epiphora or discharge, or reflux on nasolacrimal irrigation. One of the failures was permanently corrected with balloon dacryoplasty. Nine of the other failures had a repeat procedure, with 7 remaining patent after one repeat procedure and an additional one remaining patent after a third procedure. All 6 ECL DCR procedures that were performed after external or endonasal DCR at an outside institution remained patent. Among the 102 initial lacrimal surgeries in this series, there was a 73.6% success rate. The overall success, including repeat procedures, was 81.5%. The success of this technique as a repeat procedure after previous external, endonasal, or ECL DCRs was 87.5%. CONCLUSIONS: Endocanalicular laser DCR offers a minimally invasive alternative procedure for the treatment of NLDO. In our series, the success rates are comparable to those previously reported. The technique had a high success rate when used to treat recurrent NLDO after previous lacrimal surgery. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/16087238/Endocanalicular_laser_dacryocystorhinostomy_analysis_of_118_consecutive_surgeries_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(05)00645-7 DB - PRIME DP - Unbound Medicine ER -