Abstract
Aims We report the results and clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy (EDCR). Methods We reviewed electronic charts of 53 eyes in 51 revision surgery patients, with anatomical failure after primary EDCR. Results The major cause of failed EDCR was membranous obstruction of the rhinostomy site (36/53 eyes, 67.9%). The second most common cause of failure was granulomatous obstruction (13/53 eyes, 24.5%). The overall success rate of the first revision surgery was 83.0% (44/53 eyes). Revision surgery for membranous obstruction (36 eyes) showed a 100% success rate, while a 50% success rate was achieved in granulomatous obstruction (13 eyes). 2 patients with synechial obstruction also showed good results (100%). Sump syndrome (two eyes) showed a 100% failure rate after revision surgery. When granuloma was the main cause of obstruction (13 eyes), the size of the granuloma was correlated with the success of revision surgery. Granuloma size was larger in failed revision surgery (p=0.002). Conclusions A diode laser can achieve effective tissue dissection with minimal damage and is a good alternative technique for patients with membranous obstruction who had a failed EDCR. However, it may not be appropriate for large granulomatous obstruction and sump syndrome.
| Original language | English |
|---|---|
| Pages (from-to) | 1130-1133 |
| Number of pages | 4 |
| Journal | British Journal of Ophthalmology |
| Volume | 99 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2015 Jan 1 |
Fingerprint
ASJC Scopus subject areas
- Ophthalmology
- Sensory Systems
- Cellular and Molecular Neuroscience
Cite this
The clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy. / Lee, Joonsik; Choi, Soo Youn; Lee, Hwa; Chang, Minwook; Park, Minsoo; Baek, Se Hyun.
In: British Journal of Ophthalmology, Vol. 99, No. 8, 01.01.2015, p. 1130-1133.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy
AU - Lee, Joonsik
AU - Choi, Soo Youn
AU - Lee, Hwa
AU - Chang, Minwook
AU - Park, Minsoo
AU - Baek, Se Hyun
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Aims We report the results and clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy (EDCR). Methods We reviewed electronic charts of 53 eyes in 51 revision surgery patients, with anatomical failure after primary EDCR. Results The major cause of failed EDCR was membranous obstruction of the rhinostomy site (36/53 eyes, 67.9%). The second most common cause of failure was granulomatous obstruction (13/53 eyes, 24.5%). The overall success rate of the first revision surgery was 83.0% (44/53 eyes). Revision surgery for membranous obstruction (36 eyes) showed a 100% success rate, while a 50% success rate was achieved in granulomatous obstruction (13 eyes). 2 patients with synechial obstruction also showed good results (100%). Sump syndrome (two eyes) showed a 100% failure rate after revision surgery. When granuloma was the main cause of obstruction (13 eyes), the size of the granuloma was correlated with the success of revision surgery. Granuloma size was larger in failed revision surgery (p=0.002). Conclusions A diode laser can achieve effective tissue dissection with minimal damage and is a good alternative technique for patients with membranous obstruction who had a failed EDCR. However, it may not be appropriate for large granulomatous obstruction and sump syndrome.
AB - Aims We report the results and clinical effectiveness of transcanalicular diode laser-assisted revision surgery for failed endoscopic endonasal dacryocystorhinostomy (EDCR). Methods We reviewed electronic charts of 53 eyes in 51 revision surgery patients, with anatomical failure after primary EDCR. Results The major cause of failed EDCR was membranous obstruction of the rhinostomy site (36/53 eyes, 67.9%). The second most common cause of failure was granulomatous obstruction (13/53 eyes, 24.5%). The overall success rate of the first revision surgery was 83.0% (44/53 eyes). Revision surgery for membranous obstruction (36 eyes) showed a 100% success rate, while a 50% success rate was achieved in granulomatous obstruction (13 eyes). 2 patients with synechial obstruction also showed good results (100%). Sump syndrome (two eyes) showed a 100% failure rate after revision surgery. When granuloma was the main cause of obstruction (13 eyes), the size of the granuloma was correlated with the success of revision surgery. Granuloma size was larger in failed revision surgery (p=0.002). Conclusions A diode laser can achieve effective tissue dissection with minimal damage and is a good alternative technique for patients with membranous obstruction who had a failed EDCR. However, it may not be appropriate for large granulomatous obstruction and sump syndrome.
UR - http://www.scopus.com/inward/record.url?scp=84938746809&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938746809&partnerID=8YFLogxK
U2 - 10.1136/bjophthalmol-2014-306270
DO - 10.1136/bjophthalmol-2014-306270
M3 - Article
C2 - 25765627
AN - SCOPUS:84938746809
VL - 99
SP - 1130
EP - 1133
JO - British Journal of Ophthalmology
JF - British Journal of Ophthalmology
SN - 0007-1161
IS - 8
ER -