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DR SALINS EYE HOSPITAL VELEMEGNA GOOD NEWS SOCIETY-BIDAR,KARNATAKA. Successful external DCR- Factors to be considered. Dr Sybil Meshramkar Dr Praveen Sadanand. External DCR – gold standard for NLDO compared to endonasal or transcanalicular DCR
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DR SALINS EYE HOSPITAL VELEMEGNA GOOD NEWS SOCIETY-BIDAR,KARNATAKA
Successful external DCR- Factors to be considered Dr Sybil Meshramkar Dr Praveen Sadanand
External DCR – gold standard for NLDO compared to endonasal or transcanalicular DCR • Aim – consider factors affecting success of DCR • Inclusion criteria – chr.dacryocystitis, mucocele, epiphora. • Exclusion criteria - < 10yrs, nasal pathology, lid laxity, canalicular obstruction.
Lacrimal drainage disorders • Chronic dacryocystitis (59) • Lacrimal fistula (1) • Mucocele (1) • Previous failed DCR(1)
Surgical procedure • Large osteotomy • Suturing of anterior flaps • Silicon tube intubation
Post operative complications • Scar very faint - acceptance • complications like migration of tube, rupture of central thinner segment, slitting of punctum – not found.
98% success • Success – resolution of symptoms like epiphora and discharge & a patent lacrimal system on irrigation. • Silicon intubation facilitates epithelialization of DCR fistula. Intubation tube in left eye
Conclusion • Meticulous surgery and proper identification of structures. • Big osteotomy esp, younger patients. • Silicon tube intubation in all. • Tight opposition of anterior flaps.