You searched for "dacrocystorhinostomy"
Does mitomycin C improve success rates in DCR surgery?
The authors present a meta-analysis of the use of mitomycin C (MMC) as an adjunct in dacrocystorhinostomy (DCR) surgery. Fifteen randomised control trials were included. There was a degree of heterogeneity in the surgical technique used, however, the MMC is...Intravenous ketorolac during DCR
4 October 2023
| Hetvi Bhatt
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Oculoplastics, Orbit
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Dacryocystorhinostomy, ketorolac, opioid, pain
This study compares pain scores postoperatively between patients that received intravenous ketorolac (IVK) pre, intra or immediately postoperatively and a control group that did not receive it. The authors state that the patients were randomised, however it is not described...
Success rates of primary and revision transcanalicular DCR surgery
Transcanalicular laser DCR is a relatively rare procedure compared to more conventional external or endo-nasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser dacryocystorhinostomy (TCDL DCR), comparing a conventional external revision...Apr/May 2014 Quiz 1
1 April 2014
| Hardeep Singh Mudhar
|
AMD, Cataract and Refractive, Cornea / External Eye Disease, Emergency Ophthalmology, Genetics, Glaucoma, Imaging, Neuro-Ophthalmology, Oculoplastics, Ocular Pathology and Oncology, Ophthalmology, Optometry, Orbit, Paediatric Ophthalmology / Strabismus, Retina / Uvea / Vitreous
History A 45-year-old man presents with left-sided epiphora. During a dacrocystorhinostomy (DCR), the wall of the lacrimal sac was noted to be bulky. The sac wall is biopsied and sent for routine histopathology examination. The pathologist notes a distinctive feature...
Clinical outcomes of endoscopic dacryocystorhinostomy
5 April 2022
| Fiona Rowe (Prof)
|
Paediatric Ophthalmology / Strabismus
The aim of this study was to report the authors’ experience with endoscopic dacryocystorhinostomy (ED) in a paediatric population and to evaluate the effect of surgical site reassessment on anatomy and clinical outcomes. The study included 47 children <18 years...
Results of STENTube for lacrimal intubation
1 August 2017
| Jaya Myneni
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Oculoplastics, Orbit
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Dacryocystorhinostomy, NLD, STENTube, intubation
The STENTube is designed with a varied diameter – a thin central segment with a diameter of 0.86mm and distal tube segments with larger 1.3mm diameter. The thin central segment is exposed at the medial canthus. The distal tubes tamponade...
A modified technique for external DCR
The authors described a modified technique for external dacryocystorhinostomy (DCR) whereby the lacrimal sac is excised medially along its length using a 15mm blade. Following insertion of silicone stents, the remaining part of the anterior wall of the lacrimal sac...One-week intubation in external dacryocystorhinostomy
1 October 2021
| Rina Bhatt
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Oculoplastics, Orbit
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Dacryocystorhinostomy, epiphora, silicone stent intubation, success rate
Whether to routinely intubate or not in dacryocystorhinostomy (DCR) surgery has been a subject of controversy among lacrimal surgeons. Similarly, if intubated the timing of removal of stent is not standard. Here, the authors carried out a survey of their...
Transcanalicular diode laser-assisted DCR: success rates and factors for success
1 December 2021
| Su Young
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Oculoplastics, Orbit
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Epiphora, Nasolacrimal duct obstruction, dacryocystorhinostomy, diode laser, transcanalicular
This study aimed to evaluate the success rates of transcanalicular diode laser-assisted dacryocystorhinostomy (TCL-DCR) during three years of follow-up and to find clinical factors that influence surgical outcomes. Major outcomes were defined as a patent neo-ostium tested by irrigation (anatomical...
Steroid-eluting Spongostan improves endoscopic DCR success
This is a retrospective analysis of a change in technique for endoscopic dacryocystorhinostomy (endo-DCR) surgery. The authors compared the outcomes of 55 patients between 2011 and 2013 with 187 from 2013 to 2020 who all underwent endo-DCR. In 2013 the...Manometric tear duct irrigation system against the conventional lacrimal syringing
1 December 2018
| Rina Bhatt
|
Oculoplastics, Orbit
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Dacryocystorhinostomy, epiphora, lacrimal outflow, lacrimal syringing, manometric
The authors assessed the lacrimal outflow resistance with a modified irrigation system. The manometric tear duct test (mTDT) comprised of a 6mm thin wall 25 gauge lacrimal cannula which was attached to a bag of normal saline by standard fluid...
Developments in oculoplastic surgery
1 June 2018
| Rod McNeil
|
Oculoplastics
A study of NHS practice demonstrated significant patient-reported quality-of-life improvements from commonly performed oculoplastic operations: entropion repair, ectropion repair, ptosis repair and dacrocystorhinostomy (DCR) [1]. In recent years, surgical and non-surgical approaches to functional and aesthetic oculoplastic surgery have advanced...