Journal of the Korean Ophthalmological Society 2002;43(10):2000-2004.
Published online October 1, 2002.
Success Rate of Endonasal Dacryocystorhinostomy Based on the Location of the Lacrimal Sac.
Eui Ryun Chung, Kyung Taek Lee, Woong Chul Choi
Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. cwchc@hotmail.com
누낭의 위치 관계에 따른 비강내 누낭비강문합술의 수술결과
정의련 ( Eui Ryun Chung ) , 이경택 ( Kyung Taek Lee ) , 최웅철 ( Woong Chul Choi )
Abstract
PURPOSE
We studied whether the illumination had an influence on the identification of the location of the lacrimal sac and the success rate of endoscopic endonasal dacryocystorhinostomy (DCR). METHODS: Endoscopic endonasal DCR was performed on 85 eyes of 80 patients who had obstruction of nasolacrimal system without illumination. RESULTS: In all patients, identification of the location of the lacrimal sac by detecting the probe tip or the lacrimo-maxillary suture line was accomplished, without illumination. Final success rate was 87.1% in illuminator non-using group. CONCLUSIONS: We considered that endoscopic endonasal DCR without illumination, in the knowledge of lacrimal sac, ethmoid anatomy, and anatomical variations, was a non-invasive, efficient, and satisfactory method.
Key Words: Endoscopic endonasal dacryocystorhinostomy;Illumination;Success rate


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