Endoscopic Intranasal dacryocystorhinostomy in forty-five patients.

OBJECTIVE

To observe the results of endoscopic intranasal dacryocystorhinostomy.

METHODS

Forty-five patients (forty-eight eyes) suffering from chronic dacryocystitis received endoscopic intranasal dacryocystorhinostomy after November 1991, and were followed up for 3 to 36 months.

RESULTS

Thirty-nine eyes were cured (81.2%). It is significantly effective (8.3%) in 4 eyes, and effective in 2 eyes (4.2%). The total effective rate was 93.7%.

CONCLUSIONS

The intranasal approach is simple causing little bleeding and no facial scar. With the self-made dacryocyst-illuminator (diameter = 0.8 mm), and by transilluminating the lacrimal sac with fiberoptic intraocular endoilluminator bundle, the sac can be located endonasally, thus facilitating the approach.