Effect of Lacrimal Sac Incision Using Keratome in Endonasal Dacryocystorhinostomy.

Lee, Sul Gee; Yang, Jae Wook; Shin, Sung Gyun; Choi, Myung Geun

Original Article

Journal of the Korean Ophthalmological Society 2003;44(12):2720-2726.
Published online December 1, 2003.

Effect of Lacrimal Sac Incision Using Keratome in Endonasal Dacryocystorhinostomy.

Sul Gee Lee, Jae Wook Yang, Sung Gyun Shin, Myung Geun Choi

¹Department of Ophthalmology, Inje University College of Medicine Busan Paik Hospital, Korea. jwsyhyo@yahoo.co.kr
²Shin and Park eye clinic, Korea.

비강내 누낭비강문합술 중 Keratome을 이용한 누낭절개의 효과

이슬기 ( Lee Seul Gi ) , 양재욱 ( Yang Jae Ug ) , 신성균 ( Sin Seong Gyun ) , 최명근 ( Choe Myeong Geun )

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.

Key Words: Endonasal DCR;Keratome;Nasolacrimal duct obstruction