Journal of the Korean Ophthalmological Society 1998;39(1):17-24.
Published online January 1, 1998.
Clinical Experience of Lacrimal Surgery.
Jun Goo Hwang, Mi Sun Kwak
Department of Opthalmology, Fatima Hospital, Taegu, Korea.
누기수술의 임상적 경험
황준구(Jun Goo Hwang),곽미선(Mi Sun Kwak)
Abstract
The success rate of endonasal lacrimal surgery have been reported inferior to that of external lacrimal surgery. But nowadays, owing to developement of surgical instrument, such as endoscope, and improvement of surgical skill, better success rates have been reported. We have performed endonasal lacrimal surgery in 36 eyes of 34 patients and external lacrimal surgery in 41 eyes of 36 patients who have had lacriaml pathway obstruction confirmed by dacryocystography. Endonasal lacrimal surgery has been performed with endoscope, fiberoptic light pipe, and conventional lacrimal surgery instruments. Primary success rates are 84.0% in endonasal dacryocystorhinostomy (DCR), 89.5% in external DCR, 81.8% in endonasal conjunctivodacryocystorhinostomy(CDCR), and 90.9% in external CDCR. The rate of postoperative complications are 32.0% in endonasal DCR, 47.4%, in external DCR, 27.3% in endonasal CDCR, and 40.9% in external CDCR. Therefore, in order to increase the success rate of endonasal lacrimal surgery, improvement of surgical technique, use of adequate surgical instrument and careful followup examination for proper management of postoperative complicaitons are considered essential.
Key Words: Endonasal lacrimal surgery;Endoscope;Fiberoptic light pipe


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