J Korean Ophthalmol Soc.  2003 Dec;44(12):2720-2726.

Effect of Lacrimal Sac Incision Using Keratome in Endonasal Dacryocystorhinostomy

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

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.

Keyword

Endonasal DCR; Keratome; Nasolacrimal duct obstruction

MeSH Terms

Cataract
Dacryocystorhinostomy*
Humans
Nasal Mucosa
Nasolacrimal Duct
Surgical Instruments
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