A Study of outcome and follow up of  Endonasal  Dacryocystorhinostomy for cases of Acquired Nasolacrimal duct obstruction

Dr Santosh S Garag; Dr.Roshan R Jalisatgi; Dr  Arunkumar J S; Dr  Raghunath D Shanbag; Dr.Shibani V.Anchan; Dr.Shirish R Patil

Volume : V, Issue : VIII, August - 2016

A Study of outcome and follow up of Endonasal Dacryocystorhinostomy for cases of Acquired Nasolacrimal duct obstruction

Dr Santosh S Garag, Dr. Roshan R Jalisatgi, Dr Arunkumar J S, Dr Raghunath D Shanbag, Dr. Shibani V. Anchan, Dr. Shirish R Patil

Abstract :

 BACKGROUND/ INTRODUCTION: Endoscopic Dacryocystorhinostomy (DCR) is a procedure to create an artificial lacrimal drainage into the nasal cavity proximal to the ductal block. Endoscopic DCR has many advantages as compared to external DCR. OBJECTIVES: To evaluate the safety and efficacy of endoscopic dacryocystorhinostomy (DCR) for acquired nasolacrimal duct obstruction cases and to evaluate the outcome. MATERIALS AND METHODS: A Retrospective study of 50 cases that have undergone endoscopic DCR from January 2011 to December 2015 were considered for the study. Cases were operated under GA/LA depending on the age and indication for surgery. Patient was followed up at 1 week, 2weeks, 4 weeks and at six months postoperatively. The follow up data was collected from the medical records of the patients. Results were analyzed by lacrimal sac syringing and tabulated. The results of lacrimal sac syringing were collected from the data present in the records. RESULTS: Out of 50 cases operated free flow of saline on lacrimal sac syringing was noticed in 44 cases and in 6 cases there was obstruction for free flow of saline. The causes of failure of Endo DCR in our cases was high deviated nasal septum, oedema, synichae and allergic rhinitis CONCLUSION: Endoscopic DCR is effective surgery for acquired nasolacrimal duct obstruction without any complications. Regular lacrimal sac syringing till the stoma forms is necessary to get good outcome. In our series success rate was found to be 88% on par with other studies