Fiberoptics Assisted Lacrimal Surgery.

Chung, Wha Sun; Kim, Il Kyung; Cha, Soon Cheol

Original Article

Journal of the Korean Ophthalmological Society 1995;36(5):758-764.
Published online May 1, 1995.

Fiberoptics Assisted Lacrimal Surgery.

Wha Sun Chung, Il Kyung Kim, Soon Cheol Cha

Department of Ophthalmology, College of Medicine, Yeugnam University, Taegu, Korea.

굴곡광원을 사용한 비강내 누기수술법

정화선(Wha Sun Chung),김일경(Il Kyung Kim),차순철(Soon Cheol Cha)

Abstract

The endonasal laser lacrimal surgery has provided many advantages. However, the success rate of the primary endonasal DCR has been lower than the established 90% or greater success rate of conventional DCR. Endonasal fiberoptics-assisted lacrimal surgeries(108 DCR and 149 CDCR) were performed with conventional lacrimal surgical instruments and endoscope. The thick bone of the anterior lacrimal crest and half segment of the lacrimal sac were removed with Kerrison punch, and silicone tube intubation was performed. After 8 to 33 months(average 15.6 months) of follow up, intranasal mucosal ostium measured 1.85 mm in diameter. Of the 108 eyes with primary endonasal DCR, the ostium of 86 eyes(79.6%) remained patent. After revision of the failed DCR, the success rate was 96.3%(104 eyes). Of the 61 eyes with primary endonasal DCR which were performed during recent 8 to 20 months, 54 eyes(88.5%) were satisfactory. Of the 149 eyes with CDCR, Jones tubes in 141 eyes(94.6%) functioned well.

Key Words: Endonasallacirmal surgery;Fiberoptics;Kerrison punch