Surgical Results of Modified Dacryocystorhinostomy.

Choi, Jun Sung; Kim, Jae Sam; Lee, Tae Soo

Original Article

Journal of the Korean Ophthalmological Society 2004;45(7):1052-1059.
Published online July 1, 2004.

Surgical Results of Modified Dacryocystorhinostomy.

Jun Sung Choi, Jae Sam Kim, Tae Soo Lee

Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea. Tsoooo@hanmail.net

변형된 누낭비강문합술의 수술 결과

최준성 ( Jun Sung Choi ) , 김재삼 ( Jae Sam Kim ) , 이태수 ( Tae Soo Lee )

Abstract

PURPOSE
To evaluate the surgical results of endoscopic modified dacryocystorhinostomy (DCR). METHODS: The authors operated on patients with upper punctal and canalicular obstruction associated with nasolacrimal duct obstruction and performed endoscopic modified DCR. One end of a lacrimal tube was passed into the nasal cavity through an excision site of the caruncle and internal ostium and the other end of the tube was inserted into the nasal cavity through a patent punctum and the newly created intranasal ostium. The two ends were tied together in the nasal cavity in modified DCR. RESULTS: The primary success rate of modified DCR was 71.0%. Of the four failed cases, one underwent CDCR using Jones tube. CONCLUSIONS: The author's modified DCR may be a suitable alternative method to CDCR or DCR using monocanalicular silicone tube to relieve epiphora in patients with NLD obstruction associated with upper punctal and canalicular obstruction.

Key Words: Canalicular obstruction;CDCR;Modified DCR;Punctal agenesis