Journal of the Korean Ophthalmological Society 2004;45(7):1045-1051.
Published online July 1, 2004.
The Effect of Revision Endoscopic Dacryorhinostomy (EDCR).
Seong Joo Shin, Sung Chul Kim, Jin Suk Lee, Woong Chul Choi
1Department Ophthalmology, Seoul Adventist Hospital, Seoul, Korea.
2Department of Ophthalmology, The Catholic University of Korea, Seoul, Korea. cwchc@hotmail.com
내시경하 누낭비강연결 재개통술의 효과
신승주 ( Seong Joo Shin ) , 김성철 ( Sung Chul Kim ) , 이진석 ( Jin Suk Lee ) , 최웅철 ( Woong Chul Choi )
Abstract
PURPOSE
The purpose of this study was to evaluate the effects of revision endoscopic endonasal dacryocystorhinostomy (EDCR) and the causes of postoperative failure after primary endoscopic DCR in patients with nasolacrimal duct obstruction. METHODS: This prospective study enrolled 32 patients (32 eyes) who had undergone revision of endoscopic DCR with the diagnosis of obstruction of nasolacrimal system after primary EDCR between October 1997 and February 2003. RESULTS: The most common cause of revision operation after primary EDCR was granuloma, followed by membranous obstruction and common canalicular obstruction. The success rate of the cases with granuloma was 69.2%, and that with membranous obstruction was 100%. CONCLUSIONS: Revision EDCR success rate can be improved by reducing the frequency of granuloma as this was the most common factor for revision EDCR. The effect of antimetabolites in revision EDCR success rate is to be further evaluated.
Key Words: Antimetabolites;Granuloma;Membranous obstruction;Revision EDCR


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