Journal of Clinical Ophthalmology and Research

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 7  |  Issue : 3  |  Page : 105--109

Surgical results of transcaruncular dacryocystorhinostomy


Mukesh Garg1, Yashi Bansal2, Gaganpreet Singh2 
1 Center for Sight, Delhi, India
2 Department of Ophthalmology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India

Correspondence Address:
Yashi Bansal
87, SAS Nagar Extension, Wadala Road, Jalandhar - 144 003, Punjab
India

Purpose: The objective of the study is to evaluate the effectiveness of the transcaruncular approach of dacryocystorhinostomy (DCR) in the management of the cases of chronic dacryocystitis. Materials and Methods: A prospective study was conducted on 30 patients presenting in the outpatient department with chronic dacryocystitis at a tertiary eye care center. Intraoperative parameters were observed and noted at the time of surgery. Patients were followed up for a minimum period of 6 weeks and interviewed for subjective improvement of symptoms. Outcome measures were anatomical patency, epiphora, esthetic outcome, and presence of any complications. Results: Thirty patients of chronic dacryocystitis with nasolacrimal duct obstruction comprising 22 females and 8 males with a mean age of 43.8 years were operated by transcaruncular modification of external DCR. The surgical success rate of 90% was achieved after a follow-up period of 6 weeks. Postoperative complications included periorbital edema, mild nasal bleeding, and section leak which resolved by day 7 postoperatively. The procedure was associated with minimal intraoperative complications. One patient (3%) had significant intraoperative bleeding, and two patients (7%) had canalicular injury and both the patients were managed with canalicular intubation. Conclusions: Transcaruncular DCR is a cost-effective and esthetic approach not requiring the use of any endoscope or lasers and provides the benefits of external approach without a skin incision. It is associated with minimal intraoperative and postoperative complications. The surgical success rate of the procedure is comparable to the other conventional methods of DCR.


How to cite this article:
Garg M, Bansal Y, Singh G. Surgical results of transcaruncular dacryocystorhinostomy.J Clin Ophthalmol Res 2019;7:105-109


How to cite this URL:
Garg M, Bansal Y, Singh G. Surgical results of transcaruncular dacryocystorhinostomy. J Clin Ophthalmol Res [serial online] 2019 [cited 2020 Feb 23 ];7:105-109
Available from: http://www.jcor.in/article.asp?issn=2320-3897;year=2019;volume=7;issue=3;spage=105;epage=109;aulast=Garg;type=0