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Dacryocystorhinostomy for epiphora in the presence of a patent lacrimal system
Author(s) -
O’Donnell Brett,
Shah Rajiv
Publication year - 2001
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1046/j.1442-9071.2001.00366.x
Subject(s) - medicine , surgery , dacryocystorhinostomy , eyelid
Purpose : To evaluate the success rate of dacryocystorhinostomy (DCR) for epiphora in patients with a clinically patent lacrimal drainage system. Methods : A series of 51 patients, 12 men and 39 women, who underwent DCR surgery for epiphora with a clinically patent lacrimal drainage system in the background of normal eyelid examination, were evaluated. All patients underwent fluorescein dye disappearance testing and Jones 1 and 2 testing with dacryocystograms in borderline cases. A standard DCR was performed with bicanalicular silicone tubing inserted in all cases. The average time for the removal of the silicone tubes was 9.6 weeks. Results : In 48 cases (94%) there was improvement in symptoms with minimal or no significant epiphora postoperatively. Conclusions : Epiphora with a patent lacrimal drainage system obstruction can be successfully treated by DCR based on fluorescein dye disappearance tests and Jones 1 and 2 tests, with dacryocystography in borderline cases.