Department of Ophthalmology, Indira Gandhi Government Medical College, Nagpur - 440 009, India.
Indian J Ophthalmol. 2011 Sep-Oct;59(5):383-5. doi: 10.4103/0301-4738.83617.
We report the success rate and problems associated with conventional dacryocystorhinostomy (DCR) in failed cases of Trans-canalicular, laser-assisted DCR (TCLADCR). Out of 50 patients operated by the TCLADCR technique during the period 2005 - 2006, 33 patients had failure, which was confirmed on syringing of the nasolacrimal passage. Before considering them for conventional DCR, a thorough ear, nose, throat (ENT) examination was done by an ENT surgeon, to rule out a nasal pathology. All the patients were operated by the conventional standard DCR method at a medical college. While performing the surgery, the problems that came across were identified and noted. The success rate was found to be 91% in this study in a follow-up period of one year, with no major intra-operative problems. Conventional DCR is still a gold standard and should be considered as a procedure of choice in failed cases of TCLDCR.
我们报告了经鼻内镜下泪囊鼻腔吻合术（DCR）治疗失败的患者，再次行经鼻内路激光辅助泪囊鼻腔吻合术（TCLADCR）的成功率及相关问题。在 2005 年至 2006 年间，我们采用 TCLADCR 技术为 50 例患者实施了手术，其中 33 例出现手术失败，经泪道冲洗证实。在考虑为这些患者施行常规 DCR 手术前，耳鼻喉科医生对患者进行了全面的耳鼻喉检查，以排除鼻部病变。所有患者均在医学院接受了常规标准的 DCR 手术。在手术过程中，我们发现并记录了遇到的问题。在为期一年的随访中，本研究中的成功率为 91%，术中无重大问题。常规 DCR 仍然是金标准，应作为 TCLDCR 治疗失败的首选方法。
