Effect of Lacrimal Sac Incision Using Keratome in Endonasal Dacryocystorhinostomy.
- Author:
Sul Gee LEE
1
;
Jae Wook YANG
;
Sung Gyun SHIN
;
Myung Geun CHOI
Author Information
1. Department of Ophthalmology, Inje University College of Medicine Busan Paik Hospital, Korea. jwsyhyo@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Endonasal DCR;
Keratome;
Nasolacrimal duct obstruction
- MeSH:
Cataract;
Dacryocystorhinostomy*;
Humans;
Nasal Mucosa;
Nasolacrimal Duct;
Surgical Instruments
- From:Journal of the Korean Ophthalmological Society
2003;44(12):2720-2726
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the effectiveness of using Keratome in endonasal Dacryocystorhinostomy (DCR). METHODS: The authors used 3.0mm keratome, designed for cataract surgery, to incise medial wall of the lacrimal sac during endoscopic endonasal DCR in 11 patients with nasolacrimal duct obstruction. RESULTS: Surgical success rate was 90% with fast recovery time of nasal mucosa without specific complication. CONCLUSIONS: Lacrimal sac incision using keratome was more effective and non-invasive than using nasal forceps, with advantages such as shorter operation time and less nasal mucosa injury with rapid recovery time.