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       XXIV Annual Congress of the Iranian Society of Ophthalmology        بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Surgical Outcomes of Primary and Revision Endoscopic Mechanical Dacryocystorhinostomy
Author(s): Abolfazl RAHIMI, Somayeh MORTAZAVI MOGHADAM
Presentation Type: Poster
Subject: Ophthalmic Plastic and Reconstructive Surgery
Others:
Presenting Author:
Name: Abolfazl Rahimi
Affiliation :(optional) Islamic Azad University-Tehran Medical Sciences Branch
E mail: aborahimi@hotmail.com
Phone:
Mobile: 09121094948
Purpose:

Endoscopic Endonasal Dacryocystorhinostomy is an alternative method to External Daryocystorhinostomy. In this study, we introduce our method and results of this technique.

Methods:

In a prospective, nonrandomized study, 50 eyes(45 patients)with acquired nasolacrimal duct obstruction underwent endoscopic mechanical endonasal dacryocystorhinostomy(DCR)surgery. Data regarding the lacrimal drainage system,comprehensive eye examination, surgical outcome including subjective and objective results and complications during and after surgery were recorded. Irrigation tests were done 6 and 12 months after surgery.

Results:

The technique will be shown. The mean follow-up time was 10 months ( 6-12 months). The objective success rate in irrigation test was 92% (46 of 50) . The subjective success rate ( much better or better improvement of symptoms after 6 and 12 months) was 92% .The complications include pain, echymosis, peribulbar edema and epistaxis.

Conclusion:

There is a considerable difference in opinion regarding success rate of External DCR and Endoscopic DCR.In our experience, we had an acceptable success and results in endoscopic DCR. Some advantages of Endoscopic DCR include no facial scar, intact canthal ligament, intact physiological lacrimal pump and minimal blood loss. The main disadvantage of this operation is the learning curve time and cost of equipments.

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  - بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران