Clinical Outcomes of Endonasal Dacryocystorhinostomy with Canalicular Trephination in Canalicular Obstruction
10.3341/jkos.2024.65.10.651
- Author:
Su Yeon HAN
1
;
Jae Hyun OH
;
Sang Duck KIM
Author Information
1. Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, Korea
- Publication Type:Original Article
- From:Journal of the Korean Ophthalmological Society
2024;65(10):651-657
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:To investigate the surgical outcomes of endonasal dacryocystorhinostomy with canalicular trephination in patients with canalicular obstruction.
Methods:We retrospectively analyzed the medical records of 37 eyes from 32 patients who were diagnosed with canalicular obstruction between May 2010 and July 2022 and underwent endonasal dacryocystorhinostomy with canalicular trephination to evaluate the success rate and complications.
Results:In the total patient group, 81.1% achieved complete success in which epiphora completely disappeared, 13.5% had partial success in which epiphora remained but improved, and 5.4% experienced failure in which tearing persisted or worsened. Complications included one case of dacryocystorhinostomy bony opening granuloma and one case of dacryocystorhinostomy bony opening inflammation.
Conclusions:Endonasal dacryocystorhinosomy with canalicular trephination is an effective method for treating canalicular obstruction, offering a high success rate and few complications. It can be considered before resorting to conjunctivodacryocystorhinostomy, which is a more conventional treatment.
