Yakopson Vladimir S, Flanagan Joseph C, Ahn Daniel, Luo Betsy P
Wills Eye Institute, 840 Walnut St, Suite 910, Philadelphia, PA 19107, USA.
Saudi J Ophthalmol. 2011 Jan;25(1):37-49. doi: 10.1016/j.sjopt.2010.10.012. Epub 2010 Oct 18.
Dacryocystorhinostomy (DCR) is a procedure of choice for nasolacrimal duct obstruction and chronic dacryostenosis in the setting of patent canaliculi and a functional lacrimal pump. Two major approaches are utilized: external, via a transcutaneous incision and endonasal endoscopically guided. The surgery has a high success rate via both approaches. We review the history, evolution, current techniques, complications and future directions of DCR.
泪囊鼻腔吻合术(DCR)是在泪小管通畅且泪泵功能正常的情况下,治疗鼻泪管阻塞和慢性泪道狭窄的首选手术。主要采用两种方法:外部手术,通过经皮切口进行;鼻内镜引导下的鼻内手术。两种方法的手术成功率都很高。我们回顾了泪囊鼻腔吻合术的历史、发展、当前技术、并发症及未来发展方向。