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Transcanalicular Dacryocystorhinostomy With Diode Laser: Long-term Results

Plaza, Guillermo M.D., Ph.D.*; Beteré, Fernando M.D.; Nogueira, Araceli M.D.

Ophthalmic Plastic & Reconstructive Surgery: May-June 2007 - Volume 23 - Issue 3 - p 179-182
doi: 10.1097/IOP.0b013e31804bdef9

Purpose: To evaluate the effectiveness of transcanalicular dacryocystorhinostomy with diode laser in treatment of epiphora in adults.

Methods: A prospective, noncomparative, interventional case series of transcanalicular dacryocystorhinostomy in 25 patients presenting with epiphora due to nasolacrimal obstruction. Patient age ranged from 32 to 72 years. Patients were evaluated postoperatively at 12, 24, and 36 months. Patients were evaluated for symptom improvement through a visual analog scale, and patency of osteotomy by lacrimal system irrigation with fluorescein and direct visualization by nasal endoscopy. Success was defined as resolution of epiphora.

Results: Transcanalicular dacryocystorhinostomy was able to re-establish patency of the lacrimal system in 88% of cases after 36 months of surgery. No differences were found between patients older than 65 years and younger patients (chi-square, p > 0.05). Early (12 months) and late (36 months) results were similar (chi-square, p > 0.05).

Conclusions: In this prospective series, transcanalicular dacryocystorhinostomy was effective in treatment of epiphora in adults with little morbidity.

Transcanalicular dacryocystorhinostomy with diode laser is effective in the long-term treatment of epiphora from nasolacrimal duct obstruction in adults.

Departments of *Otolaryngology and ‡Ophthalmology, Hospital de Fuenlabrada, Madrid, Spain; †Ophthalmology Department, Fundación Hospital Alcorcón, Madrid, Spain

Accepted for publication September 22, 2006.

Presented in part as a poster at the American Academy of Ophthalmology annual meeting, Chicago, IL, U.S.A., October 2005.

Supported in part by Fundación Mapfre Medicina research grant (2003, #80910).

None of the authors has any financial interest in the material discussed herein, nor is there any other conflict of interest.

Address correspondence and reprint requests to Dr. Guillermo Plaza, Otolaryngology Department, Hospital de Fuenlabrada, Camino del Molino, 2 Fuenlabrada 28942, Madrid, Spain; E-mail:

©2007The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.