Double Silicone Intubation for Management of Recurrent Acquired Nasolacrimal Duct Obstruction | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 2, Volume 74, Issue 7, January 2019, Pages 1457-1461 PDF (477.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2019.27415 | ||
| Authors | ||
| Mahmoud Abd El-Halim Soliman Rabea; Mohamed Al Taher Abd El Wahab; Ehab El Sayed Abd El Salam* | ||
| Department of Ophthalmology, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background: the obstruction of the nasolacrimal excretory system may occur in the proximal puncta, canaliculi, common canaliculus, or more distally within the lacrimal sac or nasolacrimal duct. Nasolacrimal duct obstruction occurs as a congenital or acquired disease. Acquired causes can be numerous. Aim of the Work: to evaluate Dacryocystorhinostomy (DCR) with double silicone tube in the management of recurrent epiphora after failed conventional DCR. Patients and Methods: This is a prospective study which was done on 30 patients with recurrent or persistent acquired epiphora who gave positive past history of previous DCR. Results: Epiphora improved significantly in 27 out of 30 patients (90%) after six month postoperatively. Conclusions: DCR is the gold treatment intervention for acquired nasolacrimal duct obstruction (NLDO) in adults, Silicone intubation (SI) increases success rates and double SI further increases the success rates of DCR for recurrent cases and is considered safe and effective technique. | ||
| Keywords | ||
| DCR; epiphora; NLDO | ||
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