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First Author: I.Goel INDIA
Co Author(s): S. Goel
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To describe the outcomes of endocanalicular laser dacryocystorhinostomy (ECL DCR) for patients with nasolacrimal duct obstruction (NLDO)
Anand Hospital & Eye Centre, Jaipur
Retrospective, noncomparative, interventional case series in 108 consecutive patients who underwent ECL DCR.The records of the patients who underwent ECL DCR from Nov 2011 to Nov 2011 were reviewed and the data analyzed. Success was defined as the resolution of symptoms or unobstructed lacrimal irrigation.
One hundred and eightconsecutive ECL DCR surgeries performed on 108 patients between Nov 2011 to Nov 2012 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. 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%.
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.